Regional Anesthesia in Trauma

The management of pain from acute injuries is a priority in trauma care. Regional analgesic techniques are very effective at treating acute pain and are gaining in popularity as recognition of their beneficial effects on morbidity increases. Regional Anesthesia in Trauma employs multiple narrative problem-solving case scenarios that explore the use of regional anesthesia in: • Blunt chest trauma, amputations, upper and lower extremity fractures and spinal injury • Burn injury • Patients with pre-existing nerve injury and other co-morbidities • Patients at risk for compartment syndrome • Pregnant, obese, elderly and pediatric patients • Local anesthetic systemic toxicity With a focus on ultrasound-guided techniques, the reader is guided through the technical aspects of performing regional anesthesia as well as the medical and surgical considerations that influence the choice of analgesic therapy. Regional Anesthesia in Trauma is invaluable for practitioners and trainees in anesthesiology, emergency medicine and trauma surgery. Jeff Gadsden, Columbia University College of Physicians and Surgeons Features • Provides a broad scope of approaches and solutions to traumatic pain management from the scene of the accident to the rehabilitation phase • The real clinical cases place the block techniques in a real context, considering each patient as a whole rather than just a limb to be blocked • Covers controversial management topics to encourage consideration of the pros and cons for various 'hot topics' such as nerve blocks in those at risk from complications   Table of Contents Preface 1. Principles of pain management in trauma care 2. Acute pain, regional anesthesia and the stress response 3. The progression from acute to chronic pain 4. Prehospital regional anesthesia 5. Regional anesthesia and digital replantation 6. Regional anesthesia and compartment syndrome 7. Regional anesthesia for blunt chest trauma 8. Regional anesthesia, trauma, and complex regional pain syndrome 9. Regional anesthesia and combat care 10. Regional anesthesia for pediatric trauma 11. Regional anesthesia for fractured neck of femur 12. Regional anesthesia in the intoxicated trauma patient 13. Regional anesthesia for humeral shaft fracture 14. Regional anesthesia for burns 15. Regional anesthesia, penetrating abdominal trauma and sepsis 16. Regional anesthesia in the injured obese patient 17. Regional anesthesia and lower extremity trauma 18. Regional anesthesia and traumatic limb amputation 19. Complications of brachial plexus blockade 20. Regional anesthesia and trauma in pregnancy 21. Regional anesthesia and the injured athlete Index.