Polytrauma and continue epidural anesthesia. A case presentation.

Abstract

This is a 62 year-old hypertensive patient who was admitted at the Intensive Care Unit of the ¨Dr. Gustavo Aldereguí­a Lima¨ hospital with multiple trauma in the skull, thorax abdomen and extremities. Left and right pleurothomy was performed by bilateral hemonoumothorax. The patient presented hemodynamic inestability so he needed vasoactive suport and an adequate management of the support of volume. The follow up revealed pain that didn´t alliviate with the habitual treatment, which seemed to worsen with treatment. Peridural anaesthesia was applied and it revealed clinical and ventilatory stability and avoided the deleterious effect of pain. The patient was discharged from the intensive care service without sequelae.

Keywords

• analgesia epidural
• traumatismo múltiple
• dolor