Navigation Links
Regional Anesthesia Eases Wounded Soldiers' Pain in Iraq and Afghanistan
Date:1/29/2009

HONOLULU, Jan. 29 /PRNewswire/ -- Body armor, rapid transport, and artificial blood products have exponentially improved care and survival for soldiers during the wars in Iraq and Afghanistan. However, the treatment of their pain during medical transit from battlefield to combat hospitals is still often treated only with morphine. New data from researchers working with wounded soldiers showed that continuous peripheral nerve block (CPNB) could be a viable new option for physicians treating casualties and that soldiers' perception of care is as important as the care itself.

Two abstracts were presented today at the American Academy of Pain Medicine's 25th Annual Meeting revealing insights into pain treatment for soldiers in Iraq and Afghanistan. The results could have broader implications for the growing evidence that when pain is treated as a disease, overall medical outcomes have the potential to improve.

In the first abstract, Dr. Trip Buckenmaier and his colleagues from Walter Reed Army Medical Center surveyed 110 soldiers who had been injured severely enough to need transport from the battlefields in the Middle East to Lundstahl Regional Medical Center (LRMC) in Germany from July 2007 through February 2008. Instead of just morphine, some of the soldiers were given CPNB -- a regional anesthetic technique -- to treat their pain, or morphine and CPNB. During airlift transport, all soldiers were asked about the following: pain they were experiencing 'now,' percent pain relief on a scale from 0 (no pain relief) to 100 (complete pain relief), as well as measures of anxiety, distress, and worry during flight on a scale of 0 (none) to 10 (extreme).

Results revealed that 45 percent of these soldiers' pain was alleviated during transport and 65 percent while at LRMC. Soldiers given CPNB had significantly less average pain and less pain 'right now' when compared to the soldiers without CPNB This may mean there is a benefit to treating pain multi- modally, versus with morphine alone as merely a symptom of injury. Regardless of the type of treatment, the more pain a soldier had, the more likely they were to also have higher scores for anxiety, distress, and worry.

"We saw first hand, and our research confirmed, that options beyond morphine for early, aggressive pain intervention and control are needed to support our soldiers, and reduce their pain during transport and at combat hospitals," said Trip Buckenmaier, III, MD COL MC, chief, Army Regional Anesthesia and Pain Management Initiative Walter Reed Army Medical Center, and lead author of the study. "Traditionally viewed as a symptom to alleviate, our research shows that treating pain as a separate disease, and employing multiple options could improve overall outcomes."

These wounded soldiers were also interviewed to explore their concerns, fears, worries, and perceptions of pain control during airlift to LRMC to measure what soldiers' greatest and least concerns were to help identify areas for improvement.

The following themes emerged, illuminating what soldiers were concerned about during transit: making the experience better (defined by issues around pain medication, comfort measures, communication, and 'confidence in care providers'); communication of the unknown (wanting a sense of location, what to expect, and being informed); and fear (of injury, pain, and helplessness).

"The first priority has always been saving lives, but what we experienced and showed with our data was that in addition to the need for a more sophisticated pain care continuum, addressing psychological issues is critical," Dr. Buckenmaier continued. "Not attending to these perceived priorities of care could impede recovery, lead to post-traumatic stress disorder, or increased pain."

    Poster Session Information (Posters 252 and 253)
      Begins: 3:30 PM (Hawaiian Time), Thursday, January 29, 2009
      Ends:  10:00 AM (Hawaiian Time), Friday, January 30, 2009
      Location:  Coral Ballroom Foyer, Hilton Hawaiian Village

About the AAPM

For more than 25 years, the American Academy of Pain Medicine (AAPM) has been the medical specialty society representing more than 2,200 physicians practicing in the field of pain medicine. The Academy is involved in education, training, advocacy and research in the specialty of pain medicine. Information is available on the practice of pain medicine at http://www.painmed.org.


'/>"/>
SOURCE American Academy of Pain Medicine
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Tomball Regional Medical Center Selects Clinical Xpert(TM) from Thomson Reuters to Lead Quality Improvement Initiatives
2. Jefferson Regional Medical Center Selects iSirona DeviceConX for Medical Device Integration
3. SouthEast Alaska Regional Health Consortium Selects Orion Health's Rhapsody Integration Engine for Full-scale Application Integration and Monitoring
4. Doc to Dock Completes Maternal Health Wing at Kumasi South Regional Hospital in Ghana
5. Photos: Nevadas Saint Marys Regional Medical Center Raises $1.3 Million During Centennial Soiree
6. Ceasefire Broken in Democratic Republic of Congo; International Medical Corps Warns of Looming Humanitarian Catastrophe and Wider Regional Impact
7. Crisis in Congo: World Vision Begins Relief Efforts for Thousands of Displaced, Calls on Regional Leaders to Act
8. Capella University Offers New MS in Psychology Specialization in Child and Adolescent Development : Capella is the only regionally accredited online university to offer this master's specialization
9. Foundation Releases Comprehensive Regional Health Care Report Card
10. iCRco Opens Regional Branch Office In Beijing, China
11. HIMSS New Jersey and Delaware Valley Chapters Sponsor Regional Conference
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2017)... ... ... The Congressional Budget Office (CBO) projects that the Better Care Reconciliation Act (BCRA), ... Care Act (ACA), would result in 22 million Americans losing their health insurance by ... 20 million Americans have gained health insurance under the ACA, and from 2013 to ...
(Date:6/27/2017)... , ... June 27, 2017 , ... From June 20-22, ... three-day event was held in Syracuse, New York, where EarQ is headquartered. , ... how to connect with today’s savvy consumer, and the latest in hearing technology. ...
(Date:6/27/2017)... ... ... Two residents from the Gardant-managed assisted living and memory care communities in ... to protect Medicaid funding. , The video, which was produced by the American Health ... and Cathy Schwarz, a couple who is still able to see each other every ...
(Date:6/27/2017)... ... June 27, 2017 , ... PR News is looking for ... guidebook. This guidebook offers an excellent branding and exposure opportunity for the author ... and how-to’s that fall into the following categories:, ,     Media ...
(Date:6/27/2017)... , ... June 27, 2017 , ... ... Fabrykiewicz Scholarship Foundation Fundraiser hygiene symposium in Mystic, CT. Covering the process and ... offered their experience in these popular periodontal procedures. Drs. Toback and Urbanski practice ...
Breaking Medicine News(10 mins):
(Date:6/16/2017)... BOSTON , June 16, 2017  Exactly 50 years ... kicked off what later became known as the San Francisco ... www.northernlight.com ) is unveiling two radical innovations in strategic market ... summer.  This announcement marks the beginning of Northern Light,s "Summer ... ...
(Date:6/14/2017)... The Bio Supply Management Alliance (BSMA) has ... and the Biomedical Manufacturing Network to advance ... California by providing a platform for ... workforce development. The primary focus of this alliance is ... well as small and mid-sized biomedical companies. ...
(Date:6/13/2017)... June 13, 2017 Zimmer Biomet Holdings, Inc. (NYSE ... announced that the U.S. Food and Drug Administration (FDA) has ... 2015 relating to its Zhejiang, China ... "The successful clearance of the Warning Letter related ... facility is a measure of the progress we have made ...
Breaking Medicine Technology: