Torrie Arissa M
Department of Anesthesiology, Division of Trauma Anesthesiology, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Curr Opin Anaesthesiol. 2022 Oct 1;35(5):613-620. doi: 10.1097/ACO.0000000000001172.
This narrative review is an updated summary of the value of regional anesthesia and analgesia for trauma and the special considerations when optimizing pain management and utilizing regional analgesia for acute traumatic pain.
In the setting of the opioid epidemic, the need for multimodal analgesia in trauma is imperative. It has been proposed that inadequately treated acute pain predisposes a patient to increased risk of developing chronic pain and continued opioid use. Enhanced Regional Anesthesia techniques along with multimodal pain therapies is thought to reduce the stress response and improve patient's short- and long-term outcomes.
Our ability to save life and limb has improved, but our ability to manage acute traumatic pain continues to lag. Understanding trauma-specific concerns and tailoring the analgesia to a patient's specific injuries can increase a patient's immediate comfort and long-term outcome as well.
本叙述性综述是对区域麻醉和镇痛在创伤治疗中的价值以及优化疼痛管理和利用区域镇痛治疗急性创伤性疼痛时的特殊考虑因素的最新总结。
在阿片类药物流行的背景下，创伤患者迫切需要多模式镇痛。有人提出，急性疼痛治疗不充分会使患者患慢性疼痛和持续使用阿片类药物的风险增加。增强区域麻醉技术与多模式疼痛治疗相结合，被认为可以减轻应激反应，改善患者的短期和长期预后。
我们挽救生命和肢体的能力有所提高，但我们管理急性创伤性疼痛的能力仍然滞后。了解创伤特有的问题并根据患者的具体损伤调整镇痛方案，也可以提高患者的即时舒适度和长期预后。
