TY - JOUR
TI - Acute pain management in trauma: Anatomy, ultrasound-guided peripheral nerve blocks and special considerations
AU - Saranteas, T.
AU - Koliantzaki, I.
AU - Savvidou, O.
AU - Tsoumpa, M.
AU - Eustathiou, G.
AU - Kontogeorgakos, V.
AU - Souvatzoglou, R.
JO - Minerva Anestesiologica
PY - 2019
VL - 85
TODO - 7
SP - 763-773
PB - Edizioni Minerva Medica
SN - 0375-9393
TODO - 10.23736/S0375-9393.19.13145-8
TODO - anesthetic agent, acute disease;  analgesia;  anatomical variation;  anatomy;  ankle fracture;  brachial plexus;  clavicle fracture;  compartment syndrome;  elbow injury;  femoral nerve;  fibula fracture;  foot fracture;  forearm injury;  hip fracture;  human;  humerus fracture;  humerus shaft fracture;  injury;  interventional ultrasonography;  knee injury;  limb injury;  lower limb;  nerve block;  nerve stimulation;  pain;  patient positioning;  peripheral nerve;  peripheral nerve injury;  proximal femur fracture;  proximal humerus fracture;  regional anesthesia;  Review;  rib fracture;  scapula fracture;  sciatic nerve;  shoulder dislocation;  shoulder injury;  tibia fracture;  upper limb;  wakefulness;  analgesia;  anatomy and histology;  compartment syndrome;  complication;  diagnostic imaging;  emergency health service;  fracture;  injury;  innervation;  interventional ultrasonography;  nerve block;  pain;  pathophysiology;  peripheral nerve injury;  postoperative pain;  procedures, Acute Pain;  Analgesia;  Anesthesia, Conduction;  Brachial Plexus;  Compartment Syndromes;  Emergency Medical Services;  Fractures, Bone;  Humans;  Lower Extremity;  Nerve Block;  Pain Management;  Pain, Postoperative;  Patient Positioning;  Peripheral Nerve Injuries;  Peripheral Nerves;  Ultrasonography, Interventional;  Upper Extremity
TODO - Pain is the most common complaint amongst trauma patients throughout the perioperative period. Multimodal analgesia is currently being regarded the mainstay, with regional anesthesia techniques constituting an integral part of it. Ultrasound imaging techniques display a plethora of advantages that have pervaded regional anesthesia practice. In this review, we set out to provide several examples of injuries, to elucidate the precise anatomy of fractured bones (osteotomes), and to elaborate on certain peripheral nerve blocks employed in pain management of trauma patients. Controversies/special considerations pertaining to peripheral nerve blocks also dictate thorough analysis: as such, acute compartment syndrome, acute peripheral nerve injuries, regional anesthesia in awake or anesthetized patients, continuous peripheral nerve blocks, positioning limitations and, finally, ultrasound imaging versus neurostimulation techniques are extensively reviewed. © 2019 EDIZIONI MINERVA MEDICA
ER -