Multiple trauma 2 Analgesia

• Adequate analgesia is imperative to avoid circulatory instability and decreased chest wall excursion, especially following chest, abdominal or spinal trauma.

• Increased use of regional techniques (depending on absence of infection and coagulopathy) and patient-controlled analgesia has facilitated pain relief and weaning.

• Opiates are recommended for initial analgesia. Non-steroidals are particularly effective for bony pain though may occasionally precipitate coagulopathies, stress ulceration and renal failure.

• Agitation may be due to causes other than pain, e.g. infection, intracranial lesion.

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