Brown Joseph R, Goldsmith Andrew J, Lapietra Alexis, Zeballos Jose L, Vlassakov Kamen V, Stone Alexander B, Knight R Starr, Carnell Jennifer, Nagdev Arun
Department of Emergency Medicine, University of Colorado Aurora, CO.
Department of Emergency Medicine, Brigham and Women's Hospital Boston, MA.
POCUS J. 2022 Nov 21;7(2):253-261. doi: 10.24908/pocus.v7i2.15233. eCollection 2022.
Acute pain is one of the most frequent, and yet one of the most challenging, complaints physicians encounter in the emergency department (ED). Currently, opioids are one of several pain medications given for acute pain, but given the long-term side effects and potential for abuse, alternative pain regimens are sought. Ultrasound-guided nerve blocks (UGNB) can provide quick and sufficient pain control and therefore can be considered a component of a physician's multimodal pain plan in the ED. As UGNB are more widely implemented at the point of care, guidelines are needed to assist emergency providers to acquire the skill necessary to incorporate them into their acute pain management.
急性疼痛是医生在急诊科遇到的最常见但也是最具挑战性的主诉之一。目前，阿片类药物是用于治疗急性疼痛的几种止痛药物之一，但考虑到其长期副作用和滥用可能性，人们正在寻求替代止痛方案。超声引导下神经阻滞（UGNB）可以提供快速且充分的疼痛控制，因此可被视为急诊科医生多模式疼痛治疗计划的一部分。随着UGNB在医疗现场得到更广泛应用，需要相关指南来帮助急救人员掌握将其纳入急性疼痛管理所需的技能。
