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A retrospective study looking at use of transdermal Buprenorphine in older trauma patients with rib fractures found a good safety profile (less naloxone use) and less overall opioid use however no change in overall length of stay or mortality. Adding this to your multimodal pain strategy in older patients with rib fractures seems like a reasonable plan.
References
ournal of the American Geriatrics SocietyEarly View
CLINICAL INVESTIGATION
Transdermal Buprenorphine For Pain Management in Older Patients With Multiple Rib Fractures
Iva Neupane, Brian Mikolasko, Charles A. Adams Jr, Joao Filipe Goncalves Monteiro, Nadia Mujahid, Linda Girouard, Jessica Arabi, Ashna Rajan, Audrea Bose, Stephanie Lueckel, Lynn McNicoll, Stefan Gravenstein
First published: 16 April 2026
https://doi.org/10.1111/jgs.70444