Trauma Anaesthesia and Pain Management

  • W. Lingnau
Conference paper


Anaesthesiologists are increasingly involved in the treatment of trauma patients. The trauma anaesthesiologist performs this mission in the field, the emergency room, or the critical care unit, as well as in the operating room. In some parts of the world, anaesthesiologists are actively involved in prehospital (emergency medical service) care and transportation of the trauma patients [1]. Prehospital resuscitation and transportation to an emergency room for further diagnostic assessment as well as aggressive stabilisation of vital organ functions are cornerstones of the initial management of injured patients. The anaesthesiology team aims on circulatory stability and sufficient respiratory function. Surgical intervention to stop haemorrhage and to fix long bone fractures are listed on top of the priority list for subsequent treatment in the operation room. Trauma patients are then referred to a Postanaesthesia Care Unit (PACU) or an Intensive Care Unit (ICU) depending on the severity of injury and the expected duration of impaired organ function. Trauma management, however, includes treatment of pain at the site of an accident, in the emergency room, during surgical procedures, and in the postoperative period. By means of their specialization, anaesthesiologists are perfectly able to cover this task.


Disseminate Intravascular Coagulation Recurrent Pregnancy Loss HELLP Syndrome Severe Preeclampsia Obstetric Patient 


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Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

  • W. Lingnau
    • 1
  1. 1.Department of Anaesthesia and Critical Care MedicineLeopold-Franzens-UniversityInnsbruckAustria

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