BACKGROUND: Thoracic @entity130 accounts for 10%-15% of all @entity130 admissions. Rib @entity174 are the most common @entity130 following blunt @entity130 . Epidural analgesia improves @entity1 outcomes but is not without problems. The use of @entity129 ( @entity129 ) may offer superior @entity158 control with fewer side effects. This study's objective was to compare the rate of @entity358 when @entity174 were treated with @entity129 . METHODS: A hospital @entity130 registry provided retrospective data from 2008 to 2013 for @entity1 with 2 or more @entity174 . All subjects were admitted and were treated with either an epidural or a subcutaneously placed catheter for @entity129 . Our primary outcome was a composite of either @entity55 or @entity1576 . Secondary outcomes included total hospital days, total ICU days, and days on the ventilator. RESULTS: 12.5% (N=8) of the @entity129 group developed @entity55 or had @entity1576 compared to 16.3% (N=7) in the epidural group. No statistical difference (P=0.58) in the incidence of @entity55 or vent dependent @entity1576 was observed. There was a significant reduction (P=0.05) in hospital days from 9.72 (SD 9.98) in the epidural compared to 6.98 (SD 4.67) in the @entity129 group. The rest of our secondary outcomes showed no significant difference. CONCLUSION: This study did not show a difference in the rate of @entity55 or ventilator-dependent @entity1576 in the @entity129 vs epidural groups. It was not sufficiently powered. Our data supports a reduction in hospital days when @entity129 is used vs epidural. @entity129 may have advantages over epidurals such as fewer complications, fewer contraindications, and a shorter time to placement. Further studies are needed to confirm these statements.

Comparative evaluation of continuous intercostal nerve block or epidural analgesia on the rate of @entity1576 , intensive care unit, and hospital stay following XXXX : a retrospective review.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity129 :: ('MESH:D003389', 'Disease') :: ['continuous intercostal nerve blockade', 'CINB vs epidurals', 'CINB'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'traumatic rib fractures'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary complications'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory failure'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma', 'injury', 'thoracic trauma']
@entity174 :: (MESH:D050723,Disease) :: ['traumatic rib fractures']
