Lumbar corpectomy via retroperitoneal approach: a case series of 42 patients with traumatic lumbar fracture

Autor:	Audrey Paulzak, W. George Rusyniak, Richard P. Gonzalez, Justin Sobrino, Barry Ballard
Rok vydání:	2015
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Gold standard medicine.disease Polytrauma Surgery Pneumonia Lumbar medicine Ketamine Lumbar fracture Corpectomy business Retroperitoneal approach medicine.drug
Zdroj:	Journal of the American College of Surgeons. 221:e143
ISSN:	1072-7515
DOI:	10.1016/j.jamcollsurg.2015.08.283
Popis:	INTRODUCTION: Epidural anesthesia has traditionally been considered the gold standard for pain control in patients with multiple rib fractures. And while it reduces pulmonary complications, pneumonia rates are still reported as high as 18%. Epidural anesthesia generally requires hospital resources such as a pain management team that are not always available. Additionally, polytrauma can often preclude the use of epidural anesthesia. Therefore, we sought to evaluate our institution’s pain control protocol for multiple rib fractures centered on infusion of low-dose ketamine. We hypothesize that ketamine is safe alternative to epidural pain management.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::862df20285937b1c306fd5c03db4b5a8 https://doi.org/10.1016/j.jamcollsurg.2015.08.283 Zobrazit plný text záznamu