Anesthetic and procedural sedation techniques for wound management.
Emergency physicians come across a wide variety of painful conditions and perform a large number of uncomfortable procedures on a typical shift. This article describes the local anesthetic agents and their potential applications. The peripheral nerve blocks that are regularly done in the emergency department are described. Lastly, procedural sedation and analgesia are covered, to include general principles and specific agents for its use in the emergency department.
Crystal
Chad S
CS
Emergency Medicine Residency Program, Carl R. Darnall Army Medical Center, 36000 Darnall Loop, Fort Hood, Temple, TX 76544, USA. chad.crystal@cen.amedd.army.mil
McArthur
Todd J
TJ
Harrison
Benjamin
B
D000287:Administration, Topical; D000765:Anesthesia, Conduction; D000779:Anesthetics, Local / Q000009:adverse effects / Q000378:metabolism / Q000494:pharmacology*; D002490:Central Nervous System / Q000187:drug effects*; D016292:Procedural Sedation; D004636:Emergency Service, Hospital; D006801:Humans; D009407:Nerve Block; D015222:Sodium Channels / Q000187:drug effects; D014947:Wounds and Injuries / Q000628:therapy*
D000779:Anesthetics, Local; D015222:Sodium Channels