![]() Opioid-induced delirium is also a concern, particularly in the elderly population. Patients with head and/or spinal cord injury require frequent reassessments, which may be impaired or obscured with systemic opioids. Physicians are often hesitant to administer pain medications (especially systemic opioids) to trauma patients for fear of causing hemodynamic instability or respiratory depression and airway compromise. There are several barriers to effective analgesia for trauma patients. However, there is mounting evidence that the pain associated with injury is often undertreated (oligoanalgesia). Resuscitation and the assessment and treatment of life-threatening injuries are the first priorities in the trauma patient, and provision of adequate analgesia must frequently be delayed until the patient is stable. The management of pain in the acutely injured patient can be challenging. MANAGEMENT OF ACUTE PAIN IN PATIENT WITH TRAUMA This section aims to discuss the role of regional anesthesia within the overall framework of pain management in trauma, explore several examples of where regional anesthesia may affect outcomes in specific injuries, and briefly address the issue of acute compartment syndrome in the context of neuraxial and peripheral nerve block. The economic burden of trauma exceeds $400 billion in the United States annually. Trauma accounts for 30% of all life years lost in the United States - more than cancer, heart disease, and HIV combined. Trauma is the leading cause of death in those aged 1–44 years and the third leading cause of death for all age groups. Table of Contents Regional Anesthesia in Patients with Trauma
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