الفهرس 
PAIN IN ICUOnly 14 pages are availabe for public view
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Abstract
Regional analgesia has become invaluable for the treatment of pain during and after a wide range of surgical procedures. However, its benefits in the nonsurgical setting have been less well studied. Regional analgesia is an appealing modality for critically ill patients, providing focused and sustained pain control with beneficial systemic effect profiles. Patients in the critical care unit present special challenges to the regional analgesia anesthesiologist, including coagulopathies, infections, immunocompromised states, sedation and ventilation-associated problems, and factors potentially increasing the risk for systemic toxicity.
Conclusion:Regional analgesia (RA) is highly effective tool in pain management in ICU and reduces adverse effects of systemic analgesia.Performing RA in ICU should be done under a risk–benefit analysis on an individual basis. Expertise hand has a major role in successful RA .Sepsis , vasopressor therapy , coagulopathy and sedation were cited as the most common contraindications for the performance of RA.
Keywords: Regional analgesia , critically ill, ICU
Reference:
Stundner O and Memtsoudis S. Regional Anesthesia and Analgesia in Critically Ill Patients . Systematic Review. Reg Anesth Pain Med 2012;37: 537Y544