Title

Early Intravenous Ibuprofen Decreases Narcotic Requirement And Length Of Stay After Traumatic Rib Fracture

Abstract

Pain control after traumatic rib fracture is essential to avoid respiratory complications and prolonged hospitalization. Narcotics are commonly used, but adjunctive medications such as nonsteroidal anti-inflammatory drugs may be beneficial. Twenty-one patients with traumatic rib fractures treated with both narcotics and intravenous ibuprofen (IVIb) (Treatment) were retrospectively compared with 21 age- and rib fracture-matched patients who received narcotics alone (Control). Pain medication requirements over the first 7 hospital days were evaluated. Mean daily IVIb dose was 2070 ± 880 mg. Daily intravenous morphine-equivalent requirement was 19 ± 16 vs 32 ± 24 mg (P<0.0001). Daily narcotic requirement was significantly decreased in the Treatment group on Days 3 through 7 (P<0.05). Total weekly narcotic requirement was significantly less among Treatment patients (P = 0.004). Highest and lowest daily pain scores were lower in the Treatment group (P<0.05). Hospital length of stay was 4.4 ± 3.4 versus 5.4 ± 2.9 days (P = 0.32). There were no significant complications associated with IVIb therapy. Early IVIb therapy in patients with traumatic rib fractures significantly decreases narcotic requirement and results in clinically significant decreases in hospital length of stay. IVIb therapy should be initiated in patients with traumatic rib fractures to improve patient comfort and reduce narcotic requirement. Copyright Southeastern Surgical Congress. All rights reserved.

Publication Date

11-1-2013

Publication Title

American Surgeon

Volume

79

Issue

11

Number of Pages

1207-1212

Document Type

Article; Proceedings Paper

Personal Identifier

scopus

Socpus ID

84886653932 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84886653932

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