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What Causes Pain In Lungs After A Fracture?

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Posted on Mon, 7 Jul 2014
Question: I fractured/smashed 4 ribs in November, had a punctured lung, and collapsed lung. Was in hospital 3 weeks and had 2 surgeries to insert tubes to drain blood. All subsequent X-rays show limited to no improvement and I am in constant discomfort and at times terrible pain for which I take dialud. Next step?
doctor
Answered by Dr. Monish De (23 minutes later)
Brief Answer:
Buprenorphine transdermal patch

Detailed Answer:
Hi
XXXX
Since pain is still persisting i suggest u apply Buprenorphine transdermal patch.It will provide you pain relief for 7 days continuously and then u have to change the patch.
Chest tube thoracostomy can be done to drain blood from the space around the lungs. Chest tube thoracostomy involves placing a hollow plastic tube between the ribs and into the chest to drain fluid or air from around the lungs. The tube is often hooked up to a suction machine to help with drainage. The tube remains in the chest until all or most of the air or fluid has drained out, usually a few days. Occasionally special medicines are given through a chest tube.
Hope i have answered your query
Regards
DR De
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Monish De (39 minutes later)
Will that interfere with fentyl patch? I had 2 surgeries inserting chest tubes.
doctor
Answered by Dr. Monish De (8 minutes later)
Brief Answer:
Replacement

Detailed Answer:
Hi
U need to replace fentanyl patch with Buprenorphine transdermal patch as it is more potent in controlling pain.It is available as 5 μg/h, 10 μg/h and 20 μg/h transdermal patch.I will recommend 20 μg/h patch for you.It should be applied to non-irritated, intact skin of the upper outer arm, upper chest, upper back or the side of the chest, but not to any parts of the skin with large scars. It should be applied to a relatively hairless or nearly hairless skin site. If none are available, the hair at the site should be cut with scissors, not shaven.
If the application site must be cleaned, it should be done with clean water only. Soaps, alcohol, oils, lotions or abrasive devices must not be used. The skin must be dry before the patch is applied. The patch should be applied immediately after removal from the sealed XXXXXXX Following removal of the protective layer, the transdermal patch should be pressed firmly in place with the palm of the hand for approximately 30 seconds, making sure the contact is complete, especially around the edges. If the edges of the patch begin to peel off, the edges may be taped down with suitable skin tape.

The patch should be worn continuously for 7 days.

Bathing, showering, or swimming should not affect the patch. If a patch falls off, a new one should be applied.
If you have no more clarifications then please rate the thread.
Regards
DR De
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

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What Causes Pain In Lungs After A Fracture?

Brief Answer: Buprenorphine transdermal patch Detailed Answer: Hi XXXX Since pain is still persisting i suggest u apply Buprenorphine transdermal patch.It will provide you pain relief for 7 days continuously and then u have to change the patch. Chest tube thoracostomy can be done to drain blood from the space around the lungs. Chest tube thoracostomy involves placing a hollow plastic tube between the ribs and into the chest to drain fluid or air from around the lungs. The tube is often hooked up to a suction machine to help with drainage. The tube remains in the chest until all or most of the air or fluid has drained out, usually a few days. Occasionally special medicines are given through a chest tube. Hope i have answered your query Regards DR De