Pregledni rad

Regional anesthesia for trauma patients

DINKO TONKOVIĆ ; Department of Anaesthesiology Reanimatology and Intensive Care, Clinical Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia
VIŠNJA NESEK ADAM ; Department of Anaesthesiology Reanimatology and Intensive Care, Clinical Hospital Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Croatia
ROBERT BARONICA ; Department of Anaesthesiology Reanimatology and Intensive Care, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
DANIJELA BANDIĆ PAVLOVIĆ ; Department of Anaesthesiology Reanimatology and Intensive Care, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
ŽELJKO DRVAR ; Department of Anaesthesiology Reanimatology and Intensive Care, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
TAJANA ZAH BOGOVIĆ ; Department of Anaesthesiology Reanimatology and Intensive Care, Clinical Hospital Center Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia

Sažetak

Trauma patients demands special medical care. Pain is frequently undertreated in the early phase of trauma. Pain is a major symptom of surgical conditions and minimizing pain could lead to misdiagnoses and technical facilities are not appropriate for adequate pain treatment. Consequences of inappropriate pain treatment could aggravate stress response, increases oxygen demand and led to myocardial ischemia Analgesia with parenteral opioids is
effective but carries a risk of respiratory depression, nausea and hypotension. Regional anesthesia (RA) is well established method for analgesia in surgical patients for intraoperative and postoperative pain relief. Neuroaxial and peripheral nerve blocks are effective procedures for acute pain treatment. Nerve stimulation and advances in ultrasound guide nerve blocks make those
procedures safer and even more desirable. Advantages of RA over systemic analgesia in trauma patients are numerous. Application of local anesthetics produce excellent pain control with decreased stress response and minimal systemic effects is applied properly. Main indications for RA include patients with rib fractures and lower and upper extremities injuries. Anesthesiologist performing RAmust be aware of pathophysiology changes in trauma patients
especially addressing compartment syndrome and coagulation abnormalities. Best way is to weighed risk against the benefit of RA in trauma patients individually with increased vigilance and monitoring for eventual side effects.

Ključne riječi

Hrčak ID:

105958

URI

https://hrcak.srce.hr/105958

Datum izdavanja:

1.6.2013.

Posjeta: 3.129 *