Regional Anesthesia and Analgesia for Acute Trauma Patients

Slade, Ian R.; Samet, Ron E.

doi:10.1016/j.anclin.2018.04.004

Cited by 31 publications

(15 citation statements)

References 66 publications

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“…A reluctance to perform regional anesthesia because of the risk of infection has been noted, 23 but those fears appear to be unfounded with the meticulous use of appropriate periprocedural precautions. 23,24 The American Society of Anesthesiologists recently offered updated guidance on these precautions for prevention of infection. 25 There are no specific recommendations for animal bites per se, but universal precautions are applied that reduce the risk of infectious complications of neuraxial techniques.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of a Bite From the Nile Crocodile (Crocodylus niloticus) Managed with Regional Anesthesia

Mbanje

Muguti

Chitiyo

2019

Wilderness & Environmental Medicine

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Crocodile attack injuries plague communities near bodies of water and continue to be an infrequent but significant form of trauma encountered in our medical facility. Regional anesthesia techniques are a novel adjunct to treatment and may facilitate simplified definitive management and better utilization of constrained operating room resources. We report a case of an adult male who presented with a large lower extremity wound after a crocodile bite. The patient was managed with initial debridement and irrigation and serial wound care entirely under regional anesthesia at the bedside. The patient did not develop wound infection, eventually receiving a skin graft with good functional outcomes. Regional anesthesia techniques are increasingly being used in the trauma setting, and their versatility allows for their use in multiple settings, by practitioners with limited experience and in resource-limited environments. No specific guidelines exist for performance of neuraxial techniques in the setting of animal bite injuries, but concerns about infectious complications have been raised. Regional anesthesia techniques may be useful in the management of extremity trauma due to crocodile attacks without infectious complications. They may reduce utilization of theatre resources and reduce opioid requirements.

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Section: Discussionmentioning

confidence: 99%

A Case Report of a Bite From the Nile Crocodile (Crocodylus niloticus) Managed with Regional Anesthesia

Mbanje

Muguti

Chitiyo

2019

Wilderness & Environmental Medicine

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“…In the United States the philosophy of transporting injured patients from the field after traumatic injuries is one of “scoop and run” [3]. In other parts of the world, physicians who are highly trained in resuscitative and trauma medicine (often anesthesiologists) accompany the team for retrievals by ambulance or helicopter [3,24,47]. When clinicians are part of on-scene rescue RA interventions can be implemented earlier [48 ▪ ].…”

Section: Part 3: Special Considerationsmentioning

confidence: 99%

“…In other parts of the world, physicians who are highly trained in resuscitative and trauma medicine (often anesthesiologists) accompany the team for retrievals by ambulance or helicopter [3,24,47].…”

Section: Timingmentioning

confidence: 99%

Regional anesthesia and analgesia for trauma: an updated review

Torrie¹

2022

Current Opinion in Anaesthesiology

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Purpose of reviewThis 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. Recent findingsIn 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.

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“…[14] Potential advantages of pnbs over systemic analgesia in trauma cases are enlisted below. [15] • Severely reduced systemic side effects as compared to sedation techniques, • Substantial reduced dependence on local anaesthetic agents or sedatives, • Significantly decreased duration of length of hospital stay. Considerable reduction in the healthcare cost for patient when compared with other conventional sedation techniques.…”

Section: Trauma Casesmentioning

confidence: 99%

Utilities of Peripheral Nerve Blocks beyond the Operating Room: A Narrative Review

GV¹

2020

AAN

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Intravenous analgesia has been the standard method employed to alleviate pain. However, intravenous analgesia cause higher rate of systemic side-effects, patient discomfort and longer hospital stays. In recent times, peripheral nerve blocks (PNB) have become the most preferred choice for a variety of procedures in operating room. PNBs lower the risks of peri-operative challenges, they involve in lowering the number of opioid-related complications, and they mitigate the need for general anaesthesia. Further, peripheral nerve blocks with the assistance from ultrasound technology provide superior choices over traditional pain-relieving methods practiced in the operating room. Objective of the current review article is to throw light on the peripheral nerve blocks and their utilities other than operation theatres. Also, this review article throws light on the several utilities of peripheral nerve blocks in trauma cases, block on arrival, upper limb, lower limb, chest and abdomen, head injury, maxillofacial injuries, uses in central vein canulations, recurrent ventricular tachycardia, interventional radiology, chronic pains with acute presentation and gangrene of limbs.

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Regional Anesthesia and Analgesia for Acute Trauma Patients

Cited by 31 publications

References 66 publications

A Case Report of a Bite From the Nile Crocodile (Crocodylus niloticus) Managed with Regional Anesthesia

A Case Report of a Bite From the Nile Crocodile (Crocodylus niloticus) Managed with Regional Anesthesia

Regional anesthesia and analgesia for trauma: an updated review

Utilities of Peripheral Nerve Blocks beyond the Operating Room: A Narrative Review

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