Book contents
- Field Hospitals
- Field Hospitals
- Copyright page
- Contents
- Contributors
- Preface
- Section 1 History
- Section 2 Scenarios
- Section 3 Operational Considerations
- Section 4 Clinical Considerations
- Chapter 13 Advanced Triage Management for Emergency Medical Teams
- Chapter 14 Medical Aspects in a Field Hospital
- Chapter 15 Pediatrics in a Field Hospital
- Chapter 16 Surgery in a Field Hospital
- Chapter 17 Wound Management in a Field Hospital Environment
- Chapter 18 Orthopedics in a Field Hospital
- Chapter 19 Burn Care in a Field Hospital Environment
- Chapter 20 Obstetrics and Gynecology in a Field Hospital
- Chapter 21 Otolaryngology and Maxillofacial Surgery in a Field Hospital
- Chapter 22 Ophthalmology in a Field Hospital
- Chapter 23 Anesthesia and Pain Management in Field Hospitals
- Chapter 24 Intensive Care Unit Buildup Within a Field Hospital Setting
- Chapter 25 Infectious Diseases and Public Health in a Field Hospital
- Chapter 26 Primary and Ambulatory Care in a Field Hospital in Disaster Areas
- Chapter 27 Mental Health in a Field Hospital
- Chapter 28 Nursing in a Field Hospital
- Section 5 Additional Contextual Considerations
- Index
- Plate Section (PDF Only)
- References
Chapter 23 - Anesthesia and Pain Management in Field Hospitals
from Section 4 - Clinical Considerations
Published online by Cambridge University Press: 09 January 2020
- Field Hospitals
- Field Hospitals
- Copyright page
- Contents
- Contributors
- Preface
- Section 1 History
- Section 2 Scenarios
- Section 3 Operational Considerations
- Section 4 Clinical Considerations
- Chapter 13 Advanced Triage Management for Emergency Medical Teams
- Chapter 14 Medical Aspects in a Field Hospital
- Chapter 15 Pediatrics in a Field Hospital
- Chapter 16 Surgery in a Field Hospital
- Chapter 17 Wound Management in a Field Hospital Environment
- Chapter 18 Orthopedics in a Field Hospital
- Chapter 19 Burn Care in a Field Hospital Environment
- Chapter 20 Obstetrics and Gynecology in a Field Hospital
- Chapter 21 Otolaryngology and Maxillofacial Surgery in a Field Hospital
- Chapter 22 Ophthalmology in a Field Hospital
- Chapter 23 Anesthesia and Pain Management in Field Hospitals
- Chapter 24 Intensive Care Unit Buildup Within a Field Hospital Setting
- Chapter 25 Infectious Diseases and Public Health in a Field Hospital
- Chapter 26 Primary and Ambulatory Care in a Field Hospital in Disaster Areas
- Chapter 27 Mental Health in a Field Hospital
- Chapter 28 Nursing in a Field Hospital
- Section 5 Additional Contextual Considerations
- Index
- Plate Section (PDF Only)
- References
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.
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- Information
- Field HospitalsA Comprehensive Guide to Preparation and Operation, pp. 225 - 230Publisher: Cambridge University PressPrint publication year: 2020