Regional Anesthesia Outside the Operating Room, in Emergency Situations and Trauma Ameliyathane Dışında, Acil Koşullarda ve Travmada Rejyonal Anestezi
Anestezi Dergisi, cilt.34, sa.3, ss.175-187, 2026 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 34 Sayı: 3
- Basım Tarihi: 2026
- Doi Numarası: 10.54875/jarss.2026.65902
- Dergi Adı: Anestezi Dergisi
- Derginin Tarandığı İndeksler: Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM), Academic Search Ultimate (EBSCO)
- Sayfa Sayıları: ss.175-187
- Anahtar Kelimeler: afet, Anahtar sözcükler: Travma, disaster, fascial plane block, fasyal plan bloğu, periferik sinir bloğu, peripheral nerve block, regional anesthesia, rejyonal anestezi, Trauma, ultrason, ultrasound
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Effective analgesia in chaotic and resource-limited trauma settings is important beyond patient comfort, as it may influence airway safety, haemodynamic stability, transport, and opioid-sedative exposure. The increasing availability of portable ultrasonography, the development of fascial plane blocks, and the integration of emergency department and prehospital protocols have strengthened the role of regional anesthesia in out-of-operating-room trauma care. However, these applications must be considered together with patient selection, coagulopathy, acute compartment syndrome, pre-existing nerve injury, informed consent, local anesthetic systemic toxicity, rebound pain, and catheter-related infection risk. This narrative review aims to summarise current evidence on regional anesthesia in chaotic and resource-constrained trauma settings, discuss block selection across different clinical contexts, and provide practical decision points for safe implementation. Current evidence suggests clinically relevant potential for early analgesia and opioid sparing, particularly in hip/femur fractures and selected thoracic trauma. However, the evidence regarding long-term patient-centered outcomes, mortality, morbidity, and block-specific advantages is heterogeneous. Regional anesthesia should be regarded not as an isolated technical procedure, but as a strategic clinical decision tool that requires appropriate patient selection, equipment, training, and safety governance.