[On-demand analgesia with tramadol in bilateral multiple rib fractures].
A 41-year-old woman sustained bilaterally multiple rib fractures in a severe car accident. She developed severe pain-related dyspnoea. On-demand analgesia with tramadol (by pressing a button the patient could self-administer single doses of 20 mg) rapidly decreased the pain and respiration became almost normal. Daily doses of about 400 mg were sufficient. The ability to self-administer the analgesic clearly was an important psychological factor in the good response to the usually relatively weakly effective opioid.
D000328:Adult; D000698:Analgesia / Q000379:methods*; D003511:Cyclohexanols / Q000008:administration & dosage*; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D010146:Pain / Q000150:complications; D012253:Rib Fractures / Q000150:complications*; D012646:Self Administration / Q000295:instrumentation; D014147:Tramadol / Q000008:administration & dosage*
D003511:Cyclohexanols; D014147:Tramadol
On-Demand-Analgesie mit Tramadol bei doppelseitiger Rippenserienfraktur.