Key result
Regional anesthesia benefits carefully selected trauma patients with lower abdominal, pelvic, and extremity injuries.
Why the study?
Is regional anesthesia appropriate for trauma patients?
Is regional anesthesia appropriate for trauma patients?
Regional anesthesia can be a viable option for selected trauma patients depending on injury type and hemodynamic stability.
May support regional anesthesia in selected stable trauma patients; leaves open need for RCTs to confirm safety and efficacy.
Many anesthesiologists do not even consider regional anesthesia a logical alternative when caring for trauma patients and for many trauma victims this is the correct decision. The beneficial effects of regional anesthesia with its ease of administration, rapid onset, minimal requirements for equipment and medication, and ability to have the patient remain awake is ideal for selected patients in some trauma situations. Although the intubated, multiply-injured trauma victim with a flail chest, upper abdominal wounds, and head injury is not the appropriate patient for regional anesthesia, patients with some lower abdominal, pelvic and extremity injuries have undergone surgical repair under regional anesthesia. Choice of anesthesia in the trauma patient must take neurologic, respiratory, cardiac, hemodynamic stability, and ongoing blood loss into consideration. 6 , 13 , 14
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Rosenberg et al. (1996) conducted a review in Trauma. Regional anesthesia was evaluated. Regional anesthesia is a beneficial alternative for selected trauma patients, particularly those with lower abdominal, pelvic, and extremity injuries, provided careful patient selection is employed.
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