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Regional analgesia in postsurgical critically ill patients
S Moliner Velázquez1, R Rubio Haro2, C De Andrés Serrano2
1Servicio de Anestesia, Reanimación y Unidad Multidisciplinar de Tratamiento del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, España.
Revista Espanola De Anestesiologia Y Reanimacion
|December 13, 2016
Summary
Regional analgesia offers benefits for critically ill patients beyond surgery. This review evaluates its role in critical care pain management, considering individual patient risks and evidence.
Area of Science:
- Anesthesiology
- Critical Care Medicine
Background:
- Regional analgesia is standard for perioperative pain management.
- Its application in non-surgical acute pain for critically ill patients lacks specific prospective studies.
Purpose of the Study:
- To assess the role of regional analgesia in critically ill patients.
- To integrate regional analgesia into critical care decision-making algorithms.
Main Methods:
- Review of published literature on regional analgesia in critical care.
- Analysis of physiological effects and indications for nerve blocks in stressed patients.
Main Results:
- Regional anesthesia indications extend to various medical, postsurgical, trauma, and bedside procedures in critical care.
- Individual patient assessment is crucial due to comorbidities like coagulopathies and ventilation needs.
Conclusions:
- Regional analgesia has potential benefits for critically ill patients.
- Evidence supports considering regional analgesia within critical care pain management strategies.
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