• Minerva anestesiologica · Nov 2024

    Review

    Multimodal analgesic strategies in polytraumatized patients.

    • Cesare Biuzzi, Daniele Marianello, Charlotte Wellens, Benedetta Bidi, Agnese DI Chiaro, Francesca Remiddi, Federico Franchi, and Sabino Scolletta.
    • Department of Medical Science, Surgery and Neurosciences, Trauma Anesthesia and Intensive Care Unit, University Hospital of Siena, Siena, Italy - cesare.biuzzi@ao-siena.toscana.it.
    • Minerva Anestesiol. 2024 Nov 1; 90 (11): 102910401029-1040.

    AbstractIn 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.

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