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Risk factors and resolution of patient-reported pain and mental health symptoms following rib fracture(s).
J Trauma Acute Care Surg
January 2025
From the Department of Surgery, University of Minnesota Medical School (M.S., K.S.); Department of Surgery (E.K.J., D.M., J.M.-D.), University of Minnesota; Fairview Health Services, Trauma Services, (M.B., M.D.); and Department of Surgery (G.B.M.-M., C.J.T.), Institute for Health Informatics (G.B.M.-M., C.T.), and Center for Learning Health System Sciences (G.B.M.-M., C.T.), University of Minnesota, Minneapolis, Minnesota.
Article Synopsis
- The study focuses on patients with rib fractures, a common injury in trauma admissions, and aims to use mobile platforms to monitor their postdischarge pain and mental health through patient-reported outcome measures (PROMs).
- Among the 72 patients studied, over half experienced moderate to severe pain two weeks after discharge, with higher initial pain levels linked to worse outcomes.
- Results indicate that while early pain is associated with increased mental health symptoms, patients showed notable improvement in both pain and mental health over the following weeks, underscoring the value of using technology for patient care.
Successful Thoracic Spinal Cord Stimulator Implantation in a High-Risk Patient With Intractable Intercostal Neuralgia: A Case Report.
A A Pract
January 2025
From the Department of Pain Management, Cleveland Clinic, Cleveland, Ohio.
Article Synopsis
- Intercostal neuralgia is hard to treat and can significantly impact a person's quality of life, even with various therapy options.
- The report details a case of a 56-year-old man who experienced significant improvement in his chronic pain after receiving a spinal cord stimulator implant due to rib fractures and prior surgeries.
- This suggests that neuromodulation therapies, like spinal cord stimulation, may be effective for treating intercostal neuralgia in similar patients.
Detection of Costal Cartilage Fractures on CT Images With Computer-aided Detection System for Rib Fractures.
In Vivo
December 2024
Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Okinawa, Japan.
Background/aim: Costal cartilage fractures are associated with poor prognosis in patients with blunt chest trauma. A Computer-Aided Detection (CAD) system for detecting rib fractures has been used in practice, but it is unclear whether this system recognizes costal cartilage fractures. This study investigated whether the CAD system for rib fracture can detect costal cartilage fractures.
View Article and Find Full Text PDFRegional anesthesia modalities in blunt thoracic trauma: A systematic review and Bayesian network meta-analysis.
Am J Emerg Med
December 2024
Department of Anesthesia and Intensive care, University of Pisa, Pisa, Italy.
Background: Various regional anesthesia techniques have been studied for blunt chest wall trauma over the past decades, but their impact on patient outcomes remains unclear. This systematic review and Bayesian network meta-analysis aimed to identify the most effective regional anesthesia techniques for different outcomes in blunt thoracic trauma patients.
Methods: We searched Medline, EMBASE, Scopus, and Cochrane databases for randomized controlled trials comparing regional anesthesia techniques (thoracic epidural, erector spinae plane block, serratus anterior plane block, intercostal block, paravertebral block, intrapleural block, retrolaminar block) and standard intravenous analgesia.
Implementation of a Modified Pain, Inspiration, Cough Protocol in Patients With Traumatic Rib Fractures.
J Surg Res
December 2024
Department of Surgery, Northwell, New Hyde Park, New York; Department of Surgery at Zucker School of Medicine, Manhasset, New York.
Introduction: Patients with blunt chest wall injuries and rib fractures are known to have high rates of atelectasis, pneumonia, pulmonary contusion, and can develop acute respiratory distress syndrome. This can lead to ventilator requirement and dependence, deconditioning secondary to uncontrolled pain, and increased hospital length of stay (LOS). Many studies in the literature have developed triage algorithms in patients with rib fractures to guide disposition and management, and several institutions have gone on to describe their institution-specific management protocols to decrease complications related to traumatic rib fractures.
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