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Anesthesia and Pain Relief in Trauma Patients

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General Trauma Care and Related Aspects

Part of the book series: European Manual of Medicine ((EUROMANUAL))

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Abstract

Analgesia and anesthesia have long posed a medical challenge that goes far beyond the administration of analgesics and anesthesia. The basic analgesics of personal attention and positioning should be used by everyone, including the physician.

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References

  1. Adams HA, Saatweber P, Schmitz CS, Hecker H (2002) Postoperative pain management in orthopedic patients: no differences in pain score, but improved stress control by epidural anesthesia. Eur J Anaesth 19:658–665

    CAS  Google Scholar 

  2. Cannon WB, de la Paz D (1911) Emotional stimulation of adrenal secretion. Am J Physiol 27:64–70

    Google Scholar 

  3. Selye H (1936) A syndrome produced by diverse nocuous agents. Nature 138:32

    Article  Google Scholar 

  4. Selye H (1946) The general adaptation syndrome and the diseases of adaptation. J Clin Endocrinol 6:117–230

    Article  CAS  Google Scholar 

  5. Henry JP (1980) Present concept of stress theory. In: Usdin E, Kvetnansky R, Kopin IJ (eds) Catecholamines and stress: recent advances. Elsevier, North-Holland/New York, pp 557–571

    Google Scholar 

  6. Adams HA, Karst M (2007) Modulation der Stressantwort durch Schmerztherapie. In: Kress HG (ed) Aktuelle Schmerztherapie. Standards und Entwicklungen. Ecomed, Landsberg/Lech, pp. 1.1.2.1, 1–14

    Google Scholar 

  7. McEwen BS (1998) Protective and damaging effects of stress mediators. N Engl J Med 338:171–179

    Article  PubMed  CAS  Google Scholar 

  8. Bianchi M, Sacerdote P, Locatelli L et al (1991) Corticotropin releasing hormone, interleukin-1 and tumor necrosis factor share characteristics of stress mediators. Brain Res 546:139–142

    Article  PubMed  CAS  Google Scholar 

  9. Adams HA, Winterhalter M (2009) Systematik der Anästhesieverfahren. In: Kochs E, Adams HA, Spies C (eds) Anästhesiologie. Thieme, Stuttgart, pp 11–15

    Google Scholar 

  10. Detsch O, Kochs E (1997) Bedeutet Anästhesie immer auch Analgesie? Praxis 86:1549–1553

    Google Scholar 

  11. Adams HA, Baumann G, Cascorbi I, Dodt C, Ebener-Rothärmel C, Emmel M et al (2010) Interdisziplinäre Behandlungspfade Hypovolämischer Schock - Eine Empfehlung der IAG Schock der DIVI unter Berücksichtigung von spezifischen Arzneimittelwirkungen und -interaktionen in der Akuttherapie. Deutscher Ärzte-Verlag, Köln

    Google Scholar 

  12. Adams HA, Hildebrand F, Krettek C, unter Mitarbeit weiterer Mitglieder der Sektion Schock der DIVI (2010) Die Erstversorgung des polytraumatisierten Patienten - Teil I: Grundlagen und präklinische Versorgung. DIVI 1:62–72

    Google Scholar 

  13. Watts DD, Trask A, Soeken K, Perdue P, Dols S, Kaufmann C (1998) Hypothermic coagulopathy in trauma: effect of varying levels of hypothermia on enzyme speed, platelet function, and fibrinolytic activity. J Trauma 44:846–854

    Article  PubMed  CAS  Google Scholar 

  14. Rajagopalan S, Mascha E, Na J, Sessler DI (2008) The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology 108:71–77

    Article  PubMed  Google Scholar 

  15. Meng ZH, Wolberg AS, Monroe DM, Hoffmann M (2003) The effect of temperature and pH on the activity of factor VIIa: implications for the efficacy of high-dose factor VIIa in hypothermic and acidotic patients. J Trauma 55:886–891

    Article  PubMed  CAS  Google Scholar 

  16. Martini WZ, Dubick MA, Pusateri AE, Park MS, Ryan KL, Holcomb JB (2006) Does bicarbonate correct cogulation function impaired by acidosis in swine? J Trauma 61:99–106

    Article  PubMed  CAS  Google Scholar 

  17. Martini WZ, Dubick MA, Wade CE, Holcomb JB (2007) Evaluation of tris-hydroxymethylaminomethane on reversing coagulation abnormalities caused by acidosis in pigs. Crit Care Med 35:1568–1574

    Article  PubMed  CAS  Google Scholar 

  18. Adams HA, Hildebrand F, Krettek C, unter Mitarbeit weiterer Mitglieder der Sektion Schock der DIVI (2010) Die Erstversorgung des polytraumatisierten Patienten - Teil II: Klinische Grundversorgung. DIVI 1:96–107

    Google Scholar 

  19. Gnielinski M, Adams HA (2004) Perioperative Schmerztherapie bei Traumapatienten. Unfallchirurg 107:92–98

    Article  PubMed  CAS  Google Scholar 

  20. S3-Leitlinie (2009) Behandlung akuter perioperativer und posttraumatischer Schmerzen. (AWMF-Register Nr. 041/001) Stand 21.05.2007 inkl. Änderungen vom 20.04.2009. http://www.awmf.org/leitlinien/detail/ll/041-001.html

  21. Gogarten W, Van Aken H, Büttner J, Riess H, Wulf H, Bürkle H (2007) Rückenmarksnahe Regionalanästhesien und Thromboembolieprophylaxe/antithrombotische Medikation. 2. überarb Empfehlung der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin. Anästh Intensivmed 48:S109–S124

    Google Scholar 

  22. Gogarten W, Vandermeulen E, Van Aken H, Kozek S, Llau JV, Samama CM (2010) Regional anaesthesia and antithrombotic agents: recommendations of the European Society of Anaesthesiology. Eur J Anaesthesiol 27:999–1015

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Hans Anton Adams MD .

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Adams, H.A. (2014). Anesthesia and Pain Relief in Trauma Patients. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) General Trauma Care and Related Aspects. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88124-7_6

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  • DOI: https://doi.org/10.1007/978-3-540-88124-7_6

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-88123-0

  • Online ISBN: 978-3-540-88124-7

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