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Chapter 23 - Anesthesia and Pain Management in Field Hospitals

from Section 4 - Clinical Considerations

Published online by Cambridge University Press:  09 January 2020

Elhanan Bar-On
Affiliation:
The Israel Center for Disaster Medicine and Humanitarian Response, Sheba Medical Center, Tel Hashomer, Israel
Kobi Peleg
Affiliation:
National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Health Policy and Epidemiology and Tel-Aviv University, Disaster Medicine Department
Yitshak Kreiss
Affiliation:
Sheba Medical Center, Tel Hashomer, Israel
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Summary

The choice of the anesthetic technique in austere environments is dictated by the availability of medical personnel, electricity, oxygen, and supplies. TIVA appears to be a very promising, reliable alternative for the future of field anesthesia given its safety, simplicity, rapid setup, and small logistical footprint. Therefore, more anesthesia providers need to be trained and educated to be familiar and comfortable with administration of TIVA. Whenever regional nerve block anesthesia use is appropriate, it can be another excellent choice to provide better acute pain control and decrease postoperative complications in austere environments. There is no perfect analgesic, and hence multimodal approach for pain management is imperative. Early pain treatment has been proven to decrease chronicity, improve functionality, and reduce the risk of subsequent development psychological morbidities such as PTSD and depression. The chapter lists the recommendations on prevention and management of the consequences of sexual violence, reduction of HIV transmission, prevention of excess maternal and neonatal mortality and morbidity, and planning of comprehensive reproductive health services in the early days and weeks of an emergency.

Type
Chapter
Information
Field Hospitals
A Comprehensive Guide to Preparation and Operation
, pp. 225 - 230
Publisher: Cambridge University Press
Print publication year: 2020

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