Respiratory Failure — RIB PAIN (Rib Fractures Treated With Parental Analgesia With Infused LidocaiNe)
Citation(s)
Allen DJ, Chae-Kim SH, Trousdale DM Risks and complications of neuraxial anesthesia and the use of anticoagulation in the surgical patient. Proc (Bayl Univ Med Cent). 2002 Oct;15(4):369-73.
Arendt K, Segal S Why epidurals do not always work. Rev Obstet Gynecol. 2008 Spring;1(2):49-55.
Daykin H The efficacy and safety of intravenous lidocaine for analgesia in the older adult: a literature review. Br J Pain. 2017 Feb;11(1):23-31. doi: 10.1177/2049463716676205. Epub 2016 Oct 24. Review.
Karmakar MK, Ho AM Acute pain management of patients with multiple fractured ribs. J Trauma. 2003 Mar;54(3):615-25. Review.
Linton DM, Potgieter PD Conservative management of blunt chest trauma. S Afr Med J. 1982 Jun 12;61(24):917-9.
Mayberry JC, Trunkey DD The fractured rib in chest wall trauma. Chest Surg Clin N Am. 1997 May;7(2):239-61. Review.
McCarthy GC, Megalla SA, Habib AS Impact of intravenous lidocaine infusion on postoperative analgesia and recovery from surgery: a systematic review of randomized controlled trials. Drugs. 2010 Jun 18;70(9):1149-63. doi: 10.2165/10898560-000000000-00000. Review.
Pattinson KT Opioids and the control of respiration. Br J Anaesth. 2008 Jun;100(6):747-58. doi: 10.1093/bja/aen094. Epub 2008 May 1. Review.
Ruppen W, Derry S, McQuay H, Moore RA Incidence of epidural hematoma, infection, and neurologic injury in obstetric patients with epidural analgesia/anesthesia. Anesthesiology. 2006 Aug;105(2):394-9. Review.
Wu CL, Jani ND, Perkins FM, Barquist E Thoracic epidural analgesia versus intravenous patient-controlled analgesia for the treatment of rib fracture pain after motor vehicle crash. J Trauma. 1999 Sep;47(3):564-7.
Ziegler DW, Agarwal NN The morbidity and mortality of rib fractures. J Trauma. 1994 Dec;37(6):975-9.
A Randomized Control Trial of Intravenous Lidocaine for the Management of Traumatic Rib Fractures: a Single Trauma Centre Trial
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Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.
Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.