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Wed Feb 8 21:43:15 GMT 2012

Thanks Joe:

Hate to be trouble, could you pass along the type of On Q you use?  Apparently there are several types.

Ben

________________________________
From: Joe Nold <jnoldscarmaker at yahoo.com>
To: Trauma-List [TRAUMA.ORG] <trauma-list at trauma.org> 
Sent: Wednesday, February 8, 2012 2:16 PM
Subject: Re: Multiple Rib Fracture (pain management) Protocol

We place them percutaneously as soon as the pt is stable. Local plus a little versed at most. No more complex than tunneling a portacath. Near immediate relief if placed right. Honestly, I feel bad for not learning how to place them sooner. Data from Texas looks good, but we are collecting our own.

Sent from my iPhone

On Feb 8, 2012, at 12:49 PM, Ben Reynolds <aneurysm_42 at yahoo.com> wrote:

> Joe:
>  
> How do you place the On-Qs?  Percutaneously?  
>  
> We routinely have our acute pain service place paravertebral blocks.  Good results.  Long wait as mentioned.
>  
> Ben
> 
> 
> ________________________________
> From: Joe Nold <jnoldscarmaker at yahoo.com>
> To: Trauma-List [TRAUMA.ORG] <trauma-list at trauma.org> 
> Sent: Wednesday, February 8, 2012 12:21 PM
> Subject: Re: Multiple Rib Fracture (pain management) Protocol
> 
> Have had good preliminary results with on q pain pumps, placed by trauma service at bedside. Still collecting data to compare to epidurals. Can cover many rib fractures, higher than epidurals can get with no waiting on anesthesiology.
> 
> Sent from my iPhone
> 
> On Feb 8, 2012, at 11:07 AM, "Gulmatico, Jhoanna" <JGulmatico at Reshealthcare.org> wrote:
> 
>> 
>> Hello everyone,
>> Would you all be so kind and share your Multiple Rib Fracture i.e. Pain management protocol?  We are planning to establish one as we have been seeing more pneumonias than we would like from trauma patients with multiple rib fractures. Thanks!
>> 
>> Jhoanna Gulmatico, BSN, RN, TNS
>> Trauma Coordinator
>> Saint Francis Hospital
>> Level I Trauma Center
>> 355 N. Ridge Ave.
>> Evanston, IL 60202
>> Office: 847-316-4132
>> Pager: 708-999-8008
>> 
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Multiple Rib Fracture (pain management) Protocol