HOW TO CONTROL PAIN IN A FEMALE PATIENT 27 years old with multiple fracture ribs, small free fluid in the abdomen, fracture tibia, femur and pelvis?
She has also brain cotusion with GCS 13
Multimodal therapy is recognized as a critical pain management approach, especially when combined with early nutrition and ambulation, designed to improve functional recovery and decrease chronic pain conditions. Multimodal therapy included a wide range of procedures and medications, including regional analgesia with continuous epidural or peripheral nerve block infusions, opioids, acetaminophen, anti-inflammatory agents, anticonvulsants, ketamine, clonidine, mexiletine, antidepressants, and anxiolytics as options to treat or modulate pain at various sites of action
Dear Sir, effective pain management is to prevent the patient from feeling any level of pain - so best always very good is - MORPHINE - administration and management. Sir Sherif Mousa and Sir Wietse P Zuidema both are so good at their point of explanation and thankful to them. Thanks
I agree with Sir Mousa concerning multimodal analgesia because this method can help optimize pain management with less opoids.
Would add chest wall catheters for Marcaine infusion to the list of multimodality strategy. Pain control is essential to prevent ICU delirium.
In my opinion dhe best way is relief the pain is to use Multimodal therapy included including regional analgesia with continuous epidural or peripheral nerve block infusions, anti-inflammatory agents, but not opioids to be alert on brain trauma...
Multi model analgesia is ideal epidural or SAP block for rib fractures.Anti inflammatory agents Dexamethasone etc also can be used
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