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优化创伤护理中的急性疼痛管理:急性创伤疼痛服务的作用、结构和核心原则。

Optimizing acute pain management in trauma care: the role, structure and core principles of acute trauma pain services.

作者信息

Gupta Kanika, Nalin Shrish, Dogra Sandeepika, Dar Parvez M

机构信息

Department of Anaesthesiology, Pain & Critical care, All India Institute of Medical Sciences, Vijaypur Jammu, Jammu & Kashmir, India.

Department of Neurosurgery, Dr Rajendra Prasad Medical College, Tanda, Himachal Pradesh, India.

出版信息

Eur J Trauma Emerg Surg. 2025 Feb 13;51(1):103. doi: 10.1007/s00068-025-02778-x.

Abstract

Trauma injuries, both accidental and violence-related, account for a significant number of fatalities and non-fatal injuries annually, with pain being a predominant symptom affecting trauma patients. Despite its prevalence, pain is often undertreated in emergency settings, leading to adverse outcomes such as delayed recovery, impaired respiratory function, and increased risk of chronic pain and post-traumatic stress disorder. An Acute Trauma Pain Service (ATPS) is designed to address these issues through a multidisciplinary approach, involving anesthesiologists, pain nurses, and trauma specialists. This service aims to provide comprehensive pain management by employing multimodal analgesia, which integrates pharmacological methods and regional techniques throughout the entire trauma care continuum. Effective pain management not only improves immediate patient well-being but also reduces long-term complications and economic burdens associated with extended hospital stays and readmissions. The integration of Acute pain service in trauma care emphasizes the importance of pain management as an integral part of patient recovery, highlighting the need for specialized services to enhance the quality and efficacy of trauma care.

摘要

创伤性损伤,包括意外伤和与暴力相关的损伤,每年导致大量死亡和非致命性伤害,疼痛是影响创伤患者的主要症状。尽管疼痛很常见,但在急诊环境中往往治疗不足,导致诸如恢复延迟、呼吸功能受损以及慢性疼痛和创伤后应激障碍风险增加等不良后果。急性创伤疼痛服务(ATPS)旨在通过多学科方法解决这些问题,该方法涉及麻醉医生、疼痛护士和创伤专家。这项服务旨在通过采用多模式镇痛来提供全面的疼痛管理,即在整个创伤护理过程中整合药理学方法和区域技术。有效的疼痛管理不仅能改善患者的即时健康状况,还能减少与延长住院时间和再次入院相关的长期并发症和经济负担。将急性疼痛服务纳入创伤护理强调了疼痛管理作为患者康复不可或缺部分的重要性,突出了需要专门服务来提高创伤护理的质量和效果。

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