https://doi.org/10.4081/amsa.2023.16

Management of a road major trauma in a spoke hospital: a report of opioid-free anesthesia in a minimally invasive orthopedic surgery

Vol. 1 No. 1 (2023)
Submitted: 11 April 2023
Accepted: 15 May 2023
Published: 25 May 2023
trauma case report, opioid-free anesthesia, orthopedic trauma, major trauma, locoregional anesthesia
Abstract Views: 363
PDF: 138
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Authors

Ludovica Golino
Unit of Anesthesia and Intensive Care, San Giovanni di Dio Hospital, Frattamaggiore, Italy.
Michela Saracco
michela.saracco@aslnapoli2nord.it
Unit of Orthopedia, San Giovanni di Dio Hospital, Frattamaggiore, Italy.
Marco Caiazzo
Unit of Anesthesia and Intensive Care, San Giovanni di Dio Hospital, Frattamaggiore, Italy.
Gianmarco Russo
Unit of Anesthesia and Intensive Care, San Giovanni di Dio Hospital, Frattamaggiore, Italy.
Fabrizio Fusco
Unit of Orthopedia, San Giovanni di Dio Hospital, Frattamaggiore, Italy.
Francesco Imperatore
Unit of Anesthesia and Intensive Care, San Giovanni di Dio Hospital, Frattamaggiore, Italy.

Major trauma is bound to be managed in highly specialized centers. Due to logistics needs or due to an initial clinical stabilization, these patients happen to be managed in hospitals that are not fully equipped for trauma. We handled a patient, major trauma to dynamics following a high-speed collision between two cars in which she was behind the wheel. The patient was also complex due to cardiovascular and respiratory comorbidities. After ‘ABCDE’ and radiological evaluation, the patient was managed in our hospital with ICU recovery and multiple orthopedic interventions to which she was subjected with neuraxial and peripheral regional anesthesia. The patient was managed successfully and with excellent pain control. The risks associated with her comorbidities were limited to a minimum and she was discharged for rehabilitation 5 days after the operations.

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How to Cite

Golino, L., Saracco, M., Caiazzo, M., Russo, G., Fusco, F., & Imperatore, F. (2023). Management of a road major trauma in a spoke hospital: a report of opioid-free anesthesia in a minimally invasive orthopedic surgery. Acute Care Medicine Surgery and Anesthesia, 1(1). https://doi.org/10.4081/amsa.2023.16
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