Assessment and management of rib fracture pain in geriatric population: an ode to old age

作者：Wardhan Richa^*

来源：Current Opinion in Anaesthesiology, 2013, 26(5): 626-631.

DOI：10.1097/01.aco.0000432516.93715.a7

• geriatric
• pain management
• paravertebral blocks
• rib fractures

Purpose of reviewPain management for traumatic rib fractures has been described in literature, but there is paucity of data when it comes to acute pain management in the elderly, let alone pain resulting from traumatic rib fractures.Recent findingsThis article focuses on challenges of assessment of pain in elderly patients and the various options available for pain management including utilization of nerve blocks. Nerve blocks are instrumental in treating rib fracture pain along with utilization of opioids and nonopioids thus formulating a multimodal approach to pain management.SummaryThe goal is to devise a proper pain management regimen for geriatric patients with rib fractures to decrease the morbidity and mortality associated with it. Developing institutional protocols is one step forward towards quality care for such patients.

• 出版日期2013-10