Publications by authors named "Paul Bhalla"
Burn injuries and their treatments result in severe pain. Unlike traumatic injuries that are characterized by a discrete episode of pain followed by recovery, burn-injured patients endure pain for a prolonged period that lasts through wound closure (e.g.
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- Pain from rib fractures can lead to serious lung issues, and both epidural/paravertebral blocks (EPVBs) and serratus anterior plane blocks (SAPBs) are used for pain management but have different challenges in an ICU setting.
- A study compared the effectiveness of SAPB versus EPVB in critically injured patients with multiple rib fractures, finding that both approaches reduced pain and improved breathing index without showing a significant difference in overall outcomes, although SAPB was easier to perform.
- The study concludes that while both methods were effective, the small sample size limits definitive conclusions and suggests further research is needed to establish the best pain management approach in these cases.
The ABA pain guidelines were developed 14 years ago and have not been revised despite evolution in the practice of burn care. A sub-committee of the American Burn Association's Committee on the Organization and Delivery of Burn Care was created to revise the adult pain guidelines. A MEDLINE search of English-language publications from 1968 to 2018 was conducted using the keywords "burn pain," "treatment," and "assessment.
View Article and Find Full Text PDFObjective: The aim of this study was to examine the risk of delirium in geriatric trauma patients with rib fractures treated with systemic opioids compared with those treated with regional analgesia (RA).
Summary Of Background Data: Delirium is a modifiable complication associated with increased morbidity and mortality. RA may reduce the need for opioid medications, which are associated with delirium in older adults.