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推进四肢创伤的疼痛管理:创伤中心中仰卧位患者超声引导神经阻滞的发展。

Advancing pain management for extremity trauma: the evolution of ultrasound-guided nerve blocks for patients in the supine position in trauma centers.

机构信息

Department of Anesthesiology, The Second Affiliated Hospital of Jiaxing University, Huancheng Strasse 1518, Jiaxing City, 314000, China.

Key Laboratory of Basic Research and Clinical Transformation of Perioperative Precision Anesthesia, Jiaxing City, China.

出版信息

Eur J Trauma Emerg Surg. 2024 Aug;50(4):1381-1390. doi: 10.1007/s00068-024-02523-w. Epub 2024 Apr 22.

Abstract

PURPOSE

Trauma, particularly extremity trauma, poses a considerable challenge in healthcare, especially among young adults. Given the severity of patient pain and the risks associated with excessive opioid use, managing acute pain in trauma centers is inherently complex. This study aims to investigate the application and benefits of ultrasound-guided nerve blocks for early pain management in patients with extremity trauma positioned supine.

METHODS

A comprehensive literature review was conducted to assess the effectiveness and advantages of ultrasound-guided peripheral nerve blocks in the acute pain management of extremity trauma patients in the supine position. Special emphasis was placed on evaluating the selection criteria, indications, contraindications, adverse reactions, and potential complications associated with these nerve block techniques.

RESULTS

Ultrasound-guided nerve blocks represent a safer and more precise option for managing pain in extremity trauma patients placed in the supine position. These techniques offer significant advantages in terms of reducing healthcare expenses, diminishing reliance on opioid medications, and mitigating opioid-related complications. Nonetheless, challenges may arise due to the necessity for patient cooperation during specific nerve block procedures.

CONCLUSION

Ultrasound-guided nerve blocks present a promising avenue for early pain management in extremity trauma patients positioned supinely. Their implementation can lead to improved patient outcomes by alleviating pain severity, reducing opioid consumption, and cutting down healthcare costs. Further research and clinical integration of these techniques is imperative to enhance pain management protocols in trauma centers.

摘要

目的

创伤,特别是四肢创伤,对医疗保健构成了相当大的挑战,尤其是在年轻人中。鉴于患者疼痛的严重程度和过度使用阿片类药物的风险,创伤中心的急性疼痛管理本质上很复杂。本研究旨在探讨超声引导神经阻滞在仰卧位四肢创伤患者早期疼痛管理中的应用和益处。

方法

对评估超声引导外周神经阻滞在仰卧位四肢创伤患者急性疼痛管理中的有效性和优势的相关文献进行了全面回顾。特别强调了评估这些神经阻滞技术的选择标准、适应证、禁忌证、不良反应和潜在并发症。

结果

超声引导神经阻滞是管理仰卧位四肢创伤患者疼痛的一种更安全、更精确的选择。这些技术在减少医疗费用、减少对阿片类药物的依赖以及减轻阿片类相关并发症方面具有显著优势。然而,由于特定神经阻滞程序需要患者配合,可能会出现挑战。

结论

超声引导神经阻滞为仰卧位四肢创伤患者的早期疼痛管理提供了一种有前途的方法。通过减轻疼痛严重程度、减少阿片类药物的使用以及降低医疗费用,它们可以改善患者的预后。进一步研究和临床整合这些技术对于增强创伤中心的疼痛管理方案至关重要。

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