Pain assessment of war wounds and analgesic strategies
Pain is one of the five vital signs,and the leading complication of war trauma,so analgesia is critical to combat casualty care.The U.S.Tactical Combat Casualty Care guidelines have defined the battlefield graded analgesic strategies.This paper reviews the assessment of pain grade of war wounds,involving the preliminary evaluation according to categories and conditions of trauma,and the quantitative evaluation according to subjective feeling and objective index monitoring.The analgesic strategies are analyzed,involving such as analgesic drugs local anesthetics,non-steroidal analgesics,opioids,N-methyl-D-aspartate receptor antagonists,and such analgesic techniques as regional nerve block,nerve radiofrequency,nerve ablation and spinal cord electrical stimulation technology.This review is expected to provide a useful reference for improving pain management and war injury treatment in China's army.
国家科技期刊平台
NSTL
万方数据
