Regional Anesthesia Eases Wounded Soldiers' Pain in Iraq and A...(is may mean there is a benefit to treati...),Health

"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)
  
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SOURCE  American Academy of Pain Medicine
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