Managing Pain on the Battlefield: An Introduction to Continuous Peripheral Nerve Blocks
| Autor: | J G Hunter |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment MEDLINE Pain Military medicine Battlefield Peripheral nerve Managing pain medicine Humans Peripheral Nerves Military Medicine Intensive care medicine Iraq War 2003-2011 Afghan Campaign 2001 business.industry Nerve Block General Medicine Pain management United Kingdom United States Surgery Nerve block Wounds and Injuries Traumatic amputation business |
| Zdroj: | Journal of the Royal Army Medical Corps. 156:230-232 |
| ISSN: | 2052-0468 0035-8665 |
| Popis: | Objective To determine the strength of evidence supporting the battlefield use of Continual Peripheral Nerve Blocks (CPNBs). Methods Publication review identifying 380 potentially relevant papers. Results CPNBs have been well trialled and are used routinely in civilian hospitals. The procedure is not without acute and chronic complications related to agents used, catheters themselves and infection risks. These techniques are being used increasingly in military field hospitals to manage pain, however research concerning their use on the battlefield is limited and further trials are required to confidently conclude efficacy. Conclusion CPNBs are just one component within military medicine of a rapidly evolving polymodal system of pain management. Common combat wounds, namely traumatic amputations, are compatible with this technique, however current evidence concerning their battlefield use is limited. Extensive UK military trials are ongoing and the results of which are expected to clarify questions regarding complication rate and efficacy. |
| Databáze: | OpenAIRE |
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