Pain should be individually titrated with opioids to the desired level. Co-operative patients may benefit from patient-controlled analgesia in the ICU. Because of its sedative power, sufentanil can often be administered without additional sedatives. Regional anesthetic techniques, in particular central neuraxial blocks, may provide effective analgesia in selected patient groups (e.g. major upper abdominal surgery, major vascular surgery, amputation, major soft tissue injury, multiple rib fractures) with possible outcome benefits.
Was this article helpful?