الفهرس | Only 14 pages are availabe for public view |
Abstract Traffic accidents kill more than a million people every year worldwide, with Egypt alone suffering more than 7, 000 deaths annually. Analgesia for the trauma patients is one of the greatest challenges in anesthesia and pain management. Anesthesiologists have particular skills in the provision of pain relief and this is of vital importance in the early and consequent management of the injured patients. Analgesia should be regarded as part of the resuscitation process because it not only brings pain relief, but also improves hemodynamic stability resulting in improved organ and tissue perfussion. Regional analgesia is considered one of those modalities for pain management either alone or in combination with general anesthesia or even be used for postoperative pain management. In this essay we discuss the history of regional analgesia application and its importance, also we discuss the application of regional analgesia in trauma patients using different procedures. We discuss the ultrasound guidance for identification of the nerves and the different techniques for performing the ultrasound guided regional nerve blocks. Finally we discuss the protocols and guidelines for application of regional analgesia techniques and the patients who can benefit from their use. |