Comparison of the effects of intra venous and epidural fentanyl on pain relief? hemodynamic stability, airway resistance, pulmonary static compliance and arterial blood gas in patients with abdominal and thoracic trauma in ICU.

Not Applicable

Conditions: Condition 1: chest trauma. Condition 2: Abdomen trauma.
Multiple open wounds of thoracic wall ,Fracture of sternum,Multiple fractures of ribs ,Flail chest
Open wound of abdominal wall ,Multiple open wounds of abdomen, lower back and pelvis,Other multiple injuries of abdomen, lower back and pelvis
S21.7,S22.
S31.1,S31.

Registration Number: IRCT201012205426N1

Lead Sponsor: Vice chancellor for research, Kerman University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 60

Inclusion Criteria

Patients with 16-80 year old age who are admitted in ICU due to chest or abdominal trauma and are under mechanical ventilation
Exclusion criteria: Age under16 and above 80 yeasr old; BMI>30; Instability of spine; renal or hepatic insufficiency, ischemic heart disease,hypertension, diabetes mellitus; massive transfusion; shock and acute respiratory distress syndrome

Exclusion Criteria

Not provided

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Heart rate-. Timepoint: at 0-2-6-24-50-54-72 hours after admission of patents in icu. Method of measurement: Heart rate with ECG monitoring-.;ABG. Timepoint: at 0-2-6-24-50-54-72 hours after admission of patents in icu. Method of measurement: ABG analyzer.;Level of consciosness. Timepoint: t 0-2-6-24-50-54-72 hours after admission of patents in icu. Method of measurement: by GCS score.;Static compliance-. Timepoint: at 0-2-6-24-50-54-72 hours after admission of patents in icu. Method of measurement: static compliance from patient data of ventilator.;Airway resistance. Timepoint: at 0-2-6-24-50-54-72 hours after admission of patents in icu. Method of measurement: airway resistance from patient data of ventilator.;Pain score-. Timepoint: at 0-2-6-24-50-54-72 hours after admission of patents in icu. Method of measurement: pain score with visual analog score.;Blood pressure. Timepoint: at 0-2-6-24-50-54-72 hours after admission of patents in icu. Method of measurement: By non invasive BP monitoring of ICU.

Secondary Outcome Measures

Name	Time	Method
Decrease level of GCS. Timepoint: GCS is evaluated every 2 houre. Method of measurement: consciousness level with GCS-.;Respiratory depression. Timepoint: respratory rate is monitored continiously in ICU. Method of measurement: respiratory rate by icu monitoring devices.;Hypotension. Timepoint: BP is monitored every 1 hour-. Method of measurement: blood pressure with NIBP monitoring.;Heart rate. Timepoint: heart rate is monitored continiously in ICU. Method of measurement: Heart rate with ECG monitoring-.