الفهرس 
ANALGESIA IN MULTIPLEOnly 14 pages are availabe for public view
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Abstract
Rib fractures are the commonest chest injuries and are usually associated with intense pain. With traumatic multiple fractured ribs (MFR), concomitant lung injury is expected. The effect of this injury is exacerbated when the pain of MFR leads to guarding, shallow breaths, and suboptimal chest physiotherapy. Gabapentin and tramadol both have demonstrated analgesic effects in clinical trials as a preemptive analgesic and in acute postoperative pain management; however experience with gabapentin is limited. The present study aimed to determine the value of adding gabapentin to continuous IV tramadol infusion in management of pain in trauma patients with multiple fracture ribs. To achieve this target, the study recruited 40 patients age 20-40 years with multiple fracture ribs. They were equally and randomly assigned to one of the treatment groups; GI: received IV infusion of tramadol at 20 mg/h. for 6 h. and thereafter 10mg/h. while GII received tramadol IV infusion of tramadol at 20 mg/h. for 6 h. and thereafter 10mg/h. plus oral gabapentin capsules 300mg twice daily. Both groups were matched for age and sex distribution.