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Regional anesthesia for trauma outside the operating theatre.

Publication ,  Journal Article
Choi, JJ; Lin, E; Gadsden, J
Published in: Curr Opin Anaesthesiol
August 2013

PURPOSE OF REVIEW: Pain management in the trauma patient can be challenging, especially outside the operating room setting. Traditional analgesics such as opioids and NSAIDs are also problematic in trauma care. In this review, the use of regional anesthetic techniques outside the operating theatre is discussed. RECENT FINDINGS: Regional anesthesia is an increasing but still underutilized clinical tool for the trauma patient outside the operating room. Regional anesthesia provides well tolerated and effective analgesia and anesthesia for many indications in the trauma setting including hip fracture, reduction of joint dislocation, wound debridement, laceration repair, and multiple rib fractures. Its use can increase safety and resource allocation in emergency departments. Performance of peripheral nerve blocks, especially with ultrasound, is amenable in various medical environments with minimal training. SUMMARY: Pain is often poorly managed in the trauma patient. In addition to quality analgesia, regional anesthesia provides a variety of benefits in the trauma setting outside the traditional operating room setting. While further utilization requires increased training and structural changes, existing tools such as ultrasound are removing barriers to the widespread use of peripheral nerve block techniques across multiple disciplines.

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Published In

Curr Opin Anaesthesiol

DOI

EISSN

1473-6500

Publication Date

August 2013

Volume

26

Issue

4

Start / End Page

495 / 500

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • Shoulder Dislocation
  • Rib Fractures
  • Nerve Block
  • Humans
  • Hip Fractures
  • Emergency Service, Hospital
  • Anesthesiology
  • Anesthesia, Conduction
  • 3202 Clinical sciences
 

Citation

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ICMJE
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Choi, J. J., Lin, E., & Gadsden, J. (2013). Regional anesthesia for trauma outside the operating theatre. Curr Opin Anaesthesiol, 26(4), 495–500. https://doi.org/10.1097/ACO.0b013e3283625ce3
Choi, Jason J., Emily Lin, and Jeff Gadsden. “Regional anesthesia for trauma outside the operating theatre.Curr Opin Anaesthesiol 26, no. 4 (August 2013): 495–500. https://doi.org/10.1097/ACO.0b013e3283625ce3.
Choi JJ, Lin E, Gadsden J. Regional anesthesia for trauma outside the operating theatre. Curr Opin Anaesthesiol. 2013 Aug;26(4):495–500.
Choi, Jason J., et al. “Regional anesthesia for trauma outside the operating theatre.Curr Opin Anaesthesiol, vol. 26, no. 4, Aug. 2013, pp. 495–500. Pubmed, doi:10.1097/ACO.0b013e3283625ce3.
Choi JJ, Lin E, Gadsden J. Regional anesthesia for trauma outside the operating theatre. Curr Opin Anaesthesiol. 2013 Aug;26(4):495–500.

Published In

Curr Opin Anaesthesiol

DOI

EISSN

1473-6500

Publication Date

August 2013

Volume

26

Issue

4

Start / End Page

495 / 500

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • Shoulder Dislocation
  • Rib Fractures
  • Nerve Block
  • Humans
  • Hip Fractures
  • Emergency Service, Hospital
  • Anesthesiology
  • Anesthesia, Conduction
  • 3202 Clinical sciences