CNA509 Assessment 2
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- Hi, I'm Rosie. I've got rib fractures that I sustained in a car accident where I was the driver.
- 24 hours later..
- Hi Rosie, I'm the Trauma Dr looking after you today. I'm sorry to hear that you have been involved in an MVA. According to your imagine, it appears that you have rib fractures a small pneumothorax. I will call the anaesthetics team to assess your pain and provide a plan for managing your pain.
- This is the most painful experience of my life...
- Hi Rosie, I'm the anaesthetist. We have two options for managing your pain caused by your rib fractures. If we don't manage our pain effectively, can result in an extended length of stay in hospital, increases your chance of developing pneumonia or blood clot on your lungs and will reduce your ability to mobilise.
- Now, we have two options for managing your pain. We can use oral opioid analgesia (such as oxycodone) in short and long-acting doses OR we can administer analgesia via epidural infusion (bupivocaine). According to a recent study, the epidural analgesia route is the most effective choice as more patients have scored lower rates of pain within a short period of adminisitration.
- Let's try the epidural and re-evaluate after a 24 hour period of time?
- I'm feeling great! The epidural has worked well for my pain. I am able to mobilise pain free and I think I will be discharged from hospital tomorrow. This is a short admission to hospital for someone with rib fractures. Thanks to my doctors for choosing this method of analgesia.
- The findings from the recent study do suggest that the epidural method of analgesia for skeletal trauma is the most effective. It has been proven to be true in your case, Rosie.
- Khosa, A, Durrani, H, Wajid, W, Khan, M,Hussain, M, Haider, I, Gulnaz, M & Butool, S 2019, ‘Choice of Analgesia inPatients with Critical Skeletal Trauma’, Cureus, vol. 11, no. 5, pp.1-7.
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