The college has frequently shown interest in the management of analgesia, particularly in the setting of chest injuries. For whatever reason, the thoracic epidural seems to come up very often. Of the three specific questions about analgesia in trauma, the thoracic epidural has come up in two. Question 13 from the second paper of 2002 asked to compare PCA and thoracic epidural in the setting of rib fractures; Question 6 from the second paper of 2007 asked about the potential complications of a thoracic epidural. For a change, Question 20 from the second paper of 2005 asked more broadly about the role of regional anaesthesia in the critically ill.
Patient and critical illness factors