Department of Medical Science, Surgery and Neurosciences, Trauma Anesthesia and Intensive Care Unit, University Hospital of Siena, Siena, Italy -
Department of Medical Science, Surgery and Neurosciences, Cardiothoracic and Vascular Anesthesia and Intensive Care Unit, University Hospital of Siena, Siena, Italy.
Minerva Anestesiol. 2024 Nov;90(11):1029-1040. doi: 10.23736/S0375-9393.24.18139-4. Epub 2024 Aug 5.
In recent years, the resuscitation of trauma patients has improved; however, pain related to trauma remains associated with systemic complications. In trauma patients, pain should be considered a vital sign, and its control is crucial for reducing complications, improving patient satisfaction, and enhancing the quality of life. The multimodal analgesia approach is the mainstay in pain control, and growing evidence in the literature supports a greater role of regional anesthesia in the management of trauma casualties. In this review, we offer the reader an updated general framework of the various approaches available for pain treatment in polytraumatized patients, with a focus on the opportunities presented by regional anesthesia. We will examine different types of locoregional anesthesia blocks and describe ultrasonographic execution techniques.
近年来，创伤患者的复苏情况有所改善；然而，与创伤相关的疼痛仍然与全身并发症有关。在创伤患者中，疼痛应被视为生命体征，控制疼痛对于减少并发症、提高患者满意度和提高生活质量至关重要。多模式镇痛方法是疼痛控制的主要方法，文献中的越来越多的证据支持区域麻醉在创伤患者管理中的更大作用。在这篇综述中，我们为读者提供了一个更新的、通用的框架，介绍了用于治疗多发性创伤患者疼痛的各种方法，重点介绍了区域麻醉带来的机会。我们将检查不同类型的局部区域麻醉阻滞，并描述超声执行技术。
