New horizons in rib fracture management in the older adult

R Coary, C Skerritt, A Carey, S Rudd… - Age and …, 2020 - academic.oup.com
Adults aged≥ 60 years now represent the majority of patients presenting with major trauma.
Falls are the most common cause of injury, accounting for nearly three-quarters of all …

Pain management in trauma patients affected by the opioid epidemic: a narrative review

K Karamchandani, JC Klick, ML Dougherty… - Journal of trauma and …, 2019 - journals.lww.com
Acute and chronic pain in trauma patients remains a challenging entity, particularly in the
setting of the escalating opioid epidemic. It has been reported that chronic opioid use …

The effectiveness of early surgical stabilization for multiple rib fractures: a multicenter randomized controlled trial

Z Wang, Y Jia, M Li - Journal of Cardiothoracic Surgery, 2023 - Springer
Introduction Multiple rib fractures (≥ 3 displaced rib fractures and/or flail chest) are severe
chest trauma with high morbidity and mortality. Rib fixation has become the first choice for …

Non-surgical management and analgesia strategies for older adults with multiple rib fractures: A systematic review, meta-analysis, and practice management …

K Mukherjee, SD Schubl, G Tominaga… - Journal of Trauma …, 2023 - journals.lww.com
BACKGROUND Chest wall injury in older adults is a significant cause of morbidity and
mortality. Optimal nonsurgical management strategies for these patients have not been fully …

[HTML][HTML] Regional Anesthesia for Acute Pain Treatment in Pre-Hospital and In-Hospital Emergency Medicine: Pain of Musculoskeletal Origin

A Fichtner, B Schrofner-Brunner, T Magath… - Deutsches Ärzteblatt …, 2023 - ncbi.nlm.nih.gov
Background More than half of all emergency department patients seek help for acute pain,
which is usually of musculoskeletal origin. Acute pain is often inadequately treated even …

Implementation of a novel nursing assessment tool in geriatric trauma patients with proximal femur fractures

T Berk, M Thalmann, KO Jensen, P Schwarzenberg… - PloS One, 2023 - journals.plos.org
Background Geriatric trauma patients represent a special challenge in postoperative care
and are prone to specific complications. The goal of this study was to analyse the predictive …

Older trauma patients are at high risk of delirium, especially those with underlying dementia or baseline frailty

DN Chróinín, N Francis, P Wong, YD Kim… - Trauma Surgery & …, 2021 - tsaco.bmj.com
Background Given the increasing numbers of older patients presenting with trauma, and the
potential influence of delirium on outcomes, we sought to investigate the proportion of such …

Higher versus lower mean arterial pressure target management in older patients having non-cardiothoracic surgery: a prospective randomized controlled trial

AM Hu, Y Qiu, P Zhang, R Zhao, ST Li… - Journal of clinical …, 2021 - Elsevier
Study objective This study aimed to evaluate the effects of low versus high mean arterial
pressure (MAP) levels on the incidence of postoperative delirium during non-cardiothoracic …

Regional analgesia for patients with traumatic rib fractures: a narrative review

AMH Ho, AK Ho, GB Mizubuti, G Klar… - Journal of Trauma and …, 2020 - journals.lww.com
Approximately 35% of all blunt trauma patients and two thirds of thoracic trauma patients
sustain one or more rib fractures. 1, 2 Common causes are motor vehicle accidents, physical …

Use of regional analgesia and risk of delirium in older adults with multiple rib fractures: an Eastern Association for the Surgery of Trauma multicenter study

KM O'Connell, KV Patel, E Powelson… - Journal of Trauma …, 2021 - journals.lww.com
BACKGROUND Single-center data demonstrates that regional analgesia (RA) techniques
are associated with reduced risk of delirium in older patients with multiple rib fractures. We …