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REVIEW ARTICLE
Year : 2020  |  Volume : 18  |  Issue : 3  |  Page : 222-228

Pain management in acute trauma


1 Department of Emergency Medicine, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Paediatric Anaesthesiology, Starship Hospital, Auckland, New Zealand
3 Department of Trauma Anaesthesia, RIMS Trauma Centre, Ranchi, Jharkhand, India

Correspondence Address:
Dr. Suma Mary Thampi
Department of Paediatric Anaesthesiology, Starship Hospital, Auckland
New Zealand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cmi.cmi_9_20

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Pain is one of the most common complaints among patients presenting to the emergency department (ED), and almost all conscious trauma patients would experience pain as the most troubling symptom. The acute management should include initial appropriate assessment of severity of pain and various measures to relieve acute pain. Multimodal analgesia which includes multiple analgesic medications (opioid and nonopioid), regional anesthesia, and nonpharmacologic interventions (physical and cognitive strategies) is highly efficient for effective and immediate pain relief. Regional anesthesia, which is gaining popularity in the ED as an integral part of acute pain relief due to trauma, includes peripheral nerve blocks and local neuraxial blockade and significantly alleviates pain and improves patient comfort.


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