ANAESTHESIOLOGY - REGIONAL ANAESTHESIA / LETTER TO EDITOR
Regional anesthesia as an alternative to general anesthesia for managing polytrauma surgically
1
Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy
2
University of Campania “Luigi Vanvitelli”, Naples, Italy
3
NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, USA
These authors had equal contribution to this work
Submission date: 2025-04-21
Final revision date: 2025-07-09
Acceptance date: 2025-07-15
Publication date: 2025-08-27
Anaesthesiol Intensive Ther 2025;57(1):215-218
TOPICS
REFERENCES (24)
1.
Lecky FE, Bouamra O, Woodford M, Alexandrescu R, O’Brien SJ. Epidemiology of Polytrauma. In: Pape HC, Peitzman A, Schwab CW, Giannoudis PV (eds.). Damage Control Management in the Polytrauma Patient. New York: Springer; 2010, pp. 13-24.
2.
Gadsden J, Warlick A. Regional anesthesia for the trauma patient: improving patient outcomes. Local Reg Anesth 2015; 8: 45-55. DOI: 10.2147/LRA.S55322.
3.
Ho AM, Karmakar MK, Critchley LA. Acute pain management of patients with multiple fractured ribs: a focus on regional techniques. Curr Opin Crit Care 2011; 17: 323-327. DOI: 10.1097/MCC.0b013e328348bf6f.
4.
Schnekenburger M, Mathew J, Fitzgerald M, Hendel S, Sekandarzad MW, Mitra B. Regional anaesthesia for rib fractures: a pilot study of serratus anterior plane block. Emerg Med Australas 2021; 33: 788-793. DOI: 10.1111/1742-6723.13724.
5.
Sharma R, Louie A, Thai CP, Dizdarevic A. Chest wall nerve blocks for cardiothoracic, breast surgery, and rib-related pain. Curr Pain Headache Rep 2022; 26: 43-56. DOI: 10.1007/s11916-022-01001-5.
6.
Clark L, Robinson M, Varbanova M. Role of regional anesthesia in orthopedic trauma. Anesthesiol Clin 2014; 32: 789-808. DOI: 10.1016/ j.anclin.2014.08.002.
7.
Grant M, Mehdian-Staffell R, Webb M, Scott S. Hip fractures in the young polytrauma patient: a review and the latest data from the UK. Eur J Orthop Surg Traumatol 2021; 31: 817-823. DOI: 10.1007/s00590-021-02923-3.
8.
Janakiram C, Fontelo P, Huser V, Chalmers NI, Lopez Mitnik G, Brow AR, et al. Opioid prescriptions for acute and chronic pain management among medicaid beneficiaries. Am J Prev Med 2019; 57: 365-373. DOI: 10.1016/j.amepre. 2019.04.022.
9.
Sultana A, Torres D, Schumann R. Special indications for opioid free anaesthesia and analgesia, patient and procedure related: including obesity, sleep apnoea, chronic obstructive pulmonary disease, complex regional pain syndromes, opioid addiction and cancer surgery. Best Pract Res Clin Anaesthesiol 2017; 31: 547-560. DOI: 10.1016/ j.bpa.2017.11.002.
10.
Berwin JT, Pearce O, Harries L, Kelly M. Managing polytrauma patients. Injury 2020; 51: 2091-2096. DOI: 10.1016/j.injury.2020.07.051.
11.
Ahmadi A, Bazargan-Hejazi S, Heidari Zadie Z, Euasobhon P, Ketumarn P, Karbasfrushan A, et al. Pain management in trauma: a review study. J Inj Violence Res 2016; 8: 89-98. DOI: 10.5249/jivr.v8i2.707.
12.
McCullough AL, Haycock JC, Forward DP, Moran CG. Early management of the severely injured major trauma patient. Br J Anaesth 2014; 113: 234-241. DOI: 10.1093/bja/aeu235.
13.
Saranteas T, Kostroglou A, Anagnostopoulos D, Giannoulis D, Vasiliou P, Mavrogenis AF. Pain is vital in resuscitation in trauma. SICOT J 2019; 5: 28. DOI: 10.1051/sicotj/2019028.
14.
Riddell M, Ospina M, Holroyd-Leduc JM. Use of femoral nerve blocks to manage hip fracture pain among older adults in the emergency department: a systematic review. CJEM 2016; 18: 245-252. DOI: 10.1017/cem.2015.94.
15.
Fusco P, Scimia P, Di Carlo S, Testa A, Luciani A, Petrucci E, Marinangeli F. Ultrasound-guided serratus plane block and fast-track tracheal extubation in the operating room for thoracic trauma patients: a case report. A A Case Rep 2017; 9: 305-307. DOI: 10.1213/XAA.0000000000000600.
16.
Ritcey B, Pageau P, Woo MY, Perry JJ. Regional nerve blocks for hip and femoral neck fractures in the emergency department: a systematic review. CJEM 2016; 18: 37-47. DOI: 10.1017/cem.2015.75.
17.
Beals T, Odashima K, Haines LE, Likourezos A, Drapkin J, Dickman E. Interscalene brachial plexus nerve block in the emergency department: an effective and practice-changing workshop. Ultrasound J 2019; 11: 15. DOI: 10.1186/s13089-019-0131-x.
18.
Narouze S, Benzon HT, Provenzano D, Buvanendran A, De Andres J, Deer T, et al. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications (Second Edition): Guidelines From the American Society of Regional Anesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, the American Academy of Pain Medicine, the International Neuromodulation Society, the North American Neuromodulation Society, and the World Institute of Pain. Reg Anesth Pain Med 2018; 43: 225-262. DOI: 10.1097/AAP.0000000000000700.
19.
Kietaibl S, Ferrandis R, Godier A, Llau J, Lobo C, Macfarlane AJ, et al. Regional anaesthesia in patients on antithrombotic drugs: Joint ESAIC/ESRA guidelines. Eur J Anaesthesiol 2022; 39: 100-132. DOI: 10.1097/EJA.0000000000001600.
20.
Valcarcel CR, Bieler D, Bass GA, Gaarder C, Hildebrand F; ESTES Polytrauma Consensus Group. ESTES recommendations for the treatment of polytrauma-a European consensus based on the German S3 guidelines for the treatment of patients with severe/multiple injuries. Eur J Trauma Emerg Surg 2025; 51: 171. DOI: 10.1007/s00068-025-02852-4.
21.
Karcz MK, Papadakos PJ. Noninvasive ventilation in trauma. World J Crit Care Med 2015; 4: 47-54. DOI: 10.5492/wjccm.v4.i1.47.
22.
Egan TD. Are opioids indispensable for general anaesthesia? Br J Anaesth 2019; 122: e127-e135. DOI: 10.1016/j.bja.2019.02.018.
23.
Rose P, Ramlogan R, Sullivan T, Lui A. Serratus anterior plane blocks provide opioid-sparing analgesia in patients with isolated posterior rib fractures: a case series. Can J Anaesth 2019; 66: 1263-1264. DOI: 10.1007/s12630-019-01431-7.
24.
Rocha-Romero A, Arias-Mejia K, Salas-Ruiz A, Peng PWH. Pericapsular nerve group (PENG) block for hip fracture in the emergency department: a case series. Anaesth Rep 2021; 9: 97-100. DOI: 10.1002/anr3.12118.
| eISSN: | 1731-2531 |
| ISSN: | 1642-5758 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
