Why the study?
Pain management in acute and subacute orthopedic trauma is challenging, and concerns over the opioid epidemic and adverse effects have driven multimodal pain control as the standard of care.
Does regional anesthesia improve pain management in patients with acute and subacute orthopedic trauma?
Does regional anesthesia improve pain management in patients with acute and subacute orthopedic trauma?
This review summarizes the use of regional anesthesia as part of multimodal pain management for orthopedic trauma to reduce opioid use.
Supports integration of regional anesthesia into multimodal trauma protocols; leaves open need for RCTs to confirm efficacy.
Pain management in the setting of acute and subacute orthopedic trauma can be challenging. Due to the recent focus on the rising opioid epidemic, as well as the adverse side of effects of opioid pain medication, multimodal pain control has become the standard of care for management of orthopedic trauma, particularly during operative fixation. The purpose of this paper is to report on the use of regional anesthesia for surgical intervention of extremity fractures in patients who present following traumatic injury as part of a multimodal pain management protocol. Types of, indications for, and outcomes of both upper and lower extremity peripheral nerve blocks will be reviewed.
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Fisher et al. (2022) studied this question.
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