Two Supportive Methods on Outcome of Patients with Chest Trauma

This study aimed to compare of epidural analgesia pluse non-invasive ventilation with intravenous analgesia pluse oxygen masks on the complicationl of chest trauma patients. This double-blind randomized clinical trial was performed on chest trauma patients who referred to the Bahonar Hospital Emergency Department of Kerman from October 2017 to October 2018. Considering the goals of the study, 25 people enrolled in each group. The main outcoms were the need for intubation, mortality rate, length of hospital stay, length of ICU stay and pneumonia. Collected data were analyzed by SPSS 21 software. Independent t-test was used to compare the length of hospital stay, intubation, and mortality rate, and chi-square tests were used to compare the qualitative variables. In the group of patients receiving epidural anesthesia with non-invasive ventilation average hospital days (P = 0.004), ICU hospitalization (P = 0.01) and pain (P = 0.03), death cases (P = 0.04) were significantly lower than the group of systemic anesthesia recipients with an oxygen mask. But pneumonia and the need for intubation were not significantly different between the two groups. The findings of this study showed that the method of epidural analgesia combined with non-invasive ventilation in patients with chest trauma is superior to systemic anesthesia with an oxygen mask. This is important in the therapeutic process of trauma patients to reduce mortality and morbidity.