Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report

Yang Chen; Yang Jing

doi:doi:10.11648/j.ijmcr.20250403.12

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Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report

Yang Chen

, Yang Jing^*

Published in International Journal of Medical Case Reports (Volume 4, Issue 3)

Received: 31 July 2025 Accepted: 12 August 2025 Published: 18 August 2025

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Abstract

Trauma is a leading global health burden, contributing to substantial morbidity, mortality, and healthcare costs. Polytrauma patients frequently endure severe acute pain, which disrupts physiological recovery, delays rehabilitation, and diminishes quality of life. Effective perioperative analgesia is critical for optimizing outcomes, with anesthesiologists playing a central role in developing individualized, multimodal pain management strategies. This case report details the perioperative care of a patient with multiple injuries—including fractures, pulmonary contusion, hemothorax, and soft tissue trauma—following a motor vehicle accident. The analgesic regimen integrated intravenous opioids, regional nerve block, and non-steroidal anti-inflammatory drugs (NSAIDs) to minimize opioid-related adverse effects, mitigate pulmonary complications, and enhance pain control. Multimodal analgesia has become the cornerstone of perioperative pain management in trauma care. During emergency debridement surgery, this approach facilitated hemodynamic stability and adequate analgesia. Following pulmonary recovery, the patient underwent definitive fracture fixation, with continuation of the multimodal strategy. Postoperatively, the patient experienced no opioid-related complications such as respiratory depression, nausea), reported high satisfaction, and achieved early mobilization. This case highlights the clinical benefits of structured, patient-centered analgesia in trauma care, including improved recovery trajectories, reduced healthcare costs, and enhanced safety. Anesthesiologists’ expertise in balancing analgesic efficacy with safety is indispensable in optimizing perioperative outcomes for polytrauma patients.

Published in	International Journal of Medical Case Reports (Volume 4, Issue 3)
DOI	10.11648/j.ijmcr.20250403.12
Page(s)	47-50
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Traumatic, Perioperative Analgesia, Regional Nerve Block, Regional Anesthesia, Ultrasound-guided

References

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[2]	Kwon, J., Lee, M., Moon, J., Huh, Y., Song, S., Kim, S., Lee, S. J., Lim, B., Kim, H. J., Kim, Y., Il Kim, H., Yun, J. H., Yu, B., Lee, G. J., Kim, J. H., Kim, O. H., Choi, W. J., Jung, M., & Jung, K. National Follow-up Survey of Preventable Trauma Death Rate in Korea. J Korean Med Sci. 2022; 37(50): e349. https://doi.org/10.3346/jkms.2022.37.e349
[3]	Hisamune R, Kobayashi M, Nakasato K, Yamazaki T, Ushio N, Mochizuki K, Takasu A, Yamakawa K. A meta-analysis and trial sequential analysis of randomised controlled trials comparing nonoperative and operative management of chest trauma with multiple rib fractures. World J Emerg Surg. 2024 Mar 19; 19(1): 11. https://doi.org/10.1186/s13017-024-00540-z
[4]	Zanza C, Romenskaya T, Zuliani M, Piccolella F, Bottinelli M, Caputo G, Rocca E, Maconi A, Savioli G, Longhitano Y. Acute Traumatic Pain in the Emergency Department. Diseases. 2023 Mar 3; 11(1): 45. https://doi.org/10.3390/diseases11010045
[5]	Blondonnet R, Begard M, Jabaudon M, et al. Blunt Chest Trauma and Regional Anesthesia for Analgesia of Multitrauma Patients in French Intensive Care Units: A National Survey. Anesth Analg. 2021; 133(3): 723-730. https://doi.org/10.1213/ANE.0000000000005442
[6]	Chin KJ, Versyck B, Pawa A. Ultrasound-guided fascial plane blocks of the chest wall: a state-of-the-art review. Anaesthesia. 2021 Jan; 76 Suppl 1: 110-126. https://doi.org/10.1111/anae.15276
[7]	Patel KM, de Guzman KD, Cronin K, van Helmond N, Krishnan S, Mitrev L, Trivedi KC, Desai RG. Pectoralis I and Serratus Anterior Plane Block Analgesia for Bilateral Mastectomy: A Case Series. Pain Physician. 2024 Dec; 27(10): E1117-E1122.
[8]	Farley, P., Griffin, R. L., Jansen, J. O., & Bosarge, P. L. Quantifying Pain Associated With Rib Fractures. The Journal of surgical research. 2020, 246, 476-481. https://doi.org/10.1016/j.jss.2019.09.032
[9]	Saranteas, T., Koliantzaki, I., Savvidou, O., Tsoumpa, M., Eustathiou, G., Kontogeorgakos, V., & Souvatzoglou, R. Acute pain management in trauma: anatomy, ultrasound-guided peripheral nerve blocks and special considerations. Minerva anestesiologica. 2019, 85(7), 763-773. https://doi.org/10.23736/S0375-9393.19.13145-8
[10]	Nair, A., & Diwan, S. Efficacy of Ultrasound-Guided Serratus Anterior Plane Block for Managing Pain Due to Multiple Rib Fractures: A Scoping Review. Cureus. 2022, 14(1), e21322. https://doi.org/10.7759/cureus.21322
[11]	Serra, S., Santonastaso, D. P., Romano, G., Riccardi, A., Nigra, S. G., Russo, E., Angelini, M., Agnoletti, V., Guarino, M., Cimmino, C. S., Spampinato, M. D., Francesconi, R., & Iaco, F. Efficacy and safety of the serratus anterior plane block (SAP block) for pain management in patients with multiple rib fractures in the emergency department: a retrospective study. European journal of trauma and emergency surgery, 2024: official publication of the European Trauma Society, 50(6), 3177-3188. https://doi.org/10.1007/s00068-024-02597-6
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APA Style

Chen, Y., Jing, Y. (2025). Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report. International Journal of Medical Case Reports, 4(3), 47-50. https://doi.org/10.11648/j.ijmcr.20250403.12

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ACS Style

Chen, Y.; Jing, Y. Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report. Int. J. Med. Case Rep. 2025, 4(3), 47-50. doi: 10.11648/j.ijmcr.20250403.12

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AMA Style

Chen Y, Jing Y. Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report. Int J Med Case Rep. 2025;4(3):47-50. doi: 10.11648/j.ijmcr.20250403.12

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@article{10.11648/j.ijmcr.20250403.12,
  author = {Yang Chen and Yang Jing},
  title = {Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report
},
  journal = {International Journal of Medical Case Reports},
  volume = {4},
  number = {3},
  pages = {47-50},
  doi = {10.11648/j.ijmcr.20250403.12},
  url = {https://doi.org/10.11648/j.ijmcr.20250403.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20250403.12},
  abstract = {Trauma is a leading global health burden, contributing to substantial morbidity, mortality, and healthcare costs. Polytrauma patients frequently endure severe acute pain, which disrupts physiological recovery, delays rehabilitation, and diminishes quality of life. Effective perioperative analgesia is critical for optimizing outcomes, with anesthesiologists playing a central role in developing individualized, multimodal pain management strategies. This case report details the perioperative care of a patient with multiple injuries—including fractures, pulmonary contusion, hemothorax, and soft tissue trauma—following a motor vehicle accident. The analgesic regimen integrated intravenous opioids, regional nerve block, and non-steroidal anti-inflammatory drugs (NSAIDs) to minimize opioid-related adverse effects, mitigate pulmonary complications, and enhance pain control. Multimodal analgesia has become the cornerstone of perioperative pain management in trauma care. During emergency debridement surgery, this approach facilitated hemodynamic stability and adequate analgesia. Following pulmonary recovery, the patient underwent definitive fracture fixation, with continuation of the multimodal strategy. Postoperatively, the patient experienced no opioid-related complications such as respiratory depression, nausea), reported high satisfaction, and achieved early mobilization. This case highlights the clinical benefits of structured, patient-centered analgesia in trauma care, including improved recovery trajectories, reduced healthcare costs, and enhanced safety. Anesthesiologists’ expertise in balancing analgesic efficacy with safety is indispensable in optimizing perioperative outcomes for polytrauma patients.},
 year = {2025}
}

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TY  - JOUR
T1  - Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report

AU  - Yang Chen
AU  - Yang Jing
Y1  - 2025/08/18
PY  - 2025
N1  - https://doi.org/10.11648/j.ijmcr.20250403.12
DO  - 10.11648/j.ijmcr.20250403.12
T2  - International Journal of Medical Case Reports
JF  - International Journal of Medical Case Reports
JO  - International Journal of Medical Case Reports
SP  - 47
EP  - 50
PB  - Science Publishing Group
SN  - 2994-7049
UR  - https://doi.org/10.11648/j.ijmcr.20250403.12
AB  - Trauma is a leading global health burden, contributing to substantial morbidity, mortality, and healthcare costs. Polytrauma patients frequently endure severe acute pain, which disrupts physiological recovery, delays rehabilitation, and diminishes quality of life. Effective perioperative analgesia is critical for optimizing outcomes, with anesthesiologists playing a central role in developing individualized, multimodal pain management strategies. This case report details the perioperative care of a patient with multiple injuries—including fractures, pulmonary contusion, hemothorax, and soft tissue trauma—following a motor vehicle accident. The analgesic regimen integrated intravenous opioids, regional nerve block, and non-steroidal anti-inflammatory drugs (NSAIDs) to minimize opioid-related adverse effects, mitigate pulmonary complications, and enhance pain control. Multimodal analgesia has become the cornerstone of perioperative pain management in trauma care. During emergency debridement surgery, this approach facilitated hemodynamic stability and adequate analgesia. Following pulmonary recovery, the patient underwent definitive fracture fixation, with continuation of the multimodal strategy. Postoperatively, the patient experienced no opioid-related complications such as respiratory depression, nausea), reported high satisfaction, and achieved early mobilization. This case highlights the clinical benefits of structured, patient-centered analgesia in trauma care, including improved recovery trajectories, reduced healthcare costs, and enhanced safety. Anesthesiologists’ expertise in balancing analgesic efficacy with safety is indispensable in optimizing perioperative outcomes for polytrauma patients.
VL  - 4
IS  - 3
ER  -

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Author Information

Yang Chen

Country Department of Anesthesiology, West China Hospital Sichuan University, Chengdu, China

Contact Email

http://orcid.org/0009-0009-5838-1073
Yang Jing

Country Department of Anesthesiology, West China Hospital Sichuan University, Chengdu, China

Contact Email

http://orcid.org/0000-0002-6320-1104

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APA Style

Chen, Y., Jing, Y. (2025). Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report. International Journal of Medical Case Reports, 4(3), 47-50. https://doi.org/10.11648/j.ijmcr.20250403.12

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ACS Style

Chen, Y.; Jing, Y. Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report. Int. J. Med. Case Rep. 2025, 4(3), 47-50. doi: 10.11648/j.ijmcr.20250403.12

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AMA Style

Chen Y, Jing Y. Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report. Int J Med Case Rep. 2025;4(3):47-50. doi: 10.11648/j.ijmcr.20250403.12

Copy | Download

@article{10.11648/j.ijmcr.20250403.12,
  author = {Yang Chen and Yang Jing},
  title = {Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report
},
  journal = {International Journal of Medical Case Reports},
  volume = {4},
  number = {3},
  pages = {47-50},
  doi = {10.11648/j.ijmcr.20250403.12},
  url = {https://doi.org/10.11648/j.ijmcr.20250403.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20250403.12},
  abstract = {Trauma is a leading global health burden, contributing to substantial morbidity, mortality, and healthcare costs. Polytrauma patients frequently endure severe acute pain, which disrupts physiological recovery, delays rehabilitation, and diminishes quality of life. Effective perioperative analgesia is critical for optimizing outcomes, with anesthesiologists playing a central role in developing individualized, multimodal pain management strategies. This case report details the perioperative care of a patient with multiple injuries—including fractures, pulmonary contusion, hemothorax, and soft tissue trauma—following a motor vehicle accident. The analgesic regimen integrated intravenous opioids, regional nerve block, and non-steroidal anti-inflammatory drugs (NSAIDs) to minimize opioid-related adverse effects, mitigate pulmonary complications, and enhance pain control. Multimodal analgesia has become the cornerstone of perioperative pain management in trauma care. During emergency debridement surgery, this approach facilitated hemodynamic stability and adequate analgesia. Following pulmonary recovery, the patient underwent definitive fracture fixation, with continuation of the multimodal strategy. Postoperatively, the patient experienced no opioid-related complications such as respiratory depression, nausea), reported high satisfaction, and achieved early mobilization. This case highlights the clinical benefits of structured, patient-centered analgesia in trauma care, including improved recovery trajectories, reduced healthcare costs, and enhanced safety. Anesthesiologists’ expertise in balancing analgesic efficacy with safety is indispensable in optimizing perioperative outcomes for polytrauma patients.},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Perioperative Analgesia Management for a Chinese Patient with Multiple Traumatic Injuries: A Case Report

AU  - Yang Chen
AU  - Yang Jing
Y1  - 2025/08/18
PY  - 2025
N1  - https://doi.org/10.11648/j.ijmcr.20250403.12
DO  - 10.11648/j.ijmcr.20250403.12
T2  - International Journal of Medical Case Reports
JF  - International Journal of Medical Case Reports
JO  - International Journal of Medical Case Reports
SP  - 47
EP  - 50
PB  - Science Publishing Group
SN  - 2994-7049
UR  - https://doi.org/10.11648/j.ijmcr.20250403.12
AB  - Trauma is a leading global health burden, contributing to substantial morbidity, mortality, and healthcare costs. Polytrauma patients frequently endure severe acute pain, which disrupts physiological recovery, delays rehabilitation, and diminishes quality of life. Effective perioperative analgesia is critical for optimizing outcomes, with anesthesiologists playing a central role in developing individualized, multimodal pain management strategies. This case report details the perioperative care of a patient with multiple injuries—including fractures, pulmonary contusion, hemothorax, and soft tissue trauma—following a motor vehicle accident. The analgesic regimen integrated intravenous opioids, regional nerve block, and non-steroidal anti-inflammatory drugs (NSAIDs) to minimize opioid-related adverse effects, mitigate pulmonary complications, and enhance pain control. Multimodal analgesia has become the cornerstone of perioperative pain management in trauma care. During emergency debridement surgery, this approach facilitated hemodynamic stability and adequate analgesia. Following pulmonary recovery, the patient underwent definitive fracture fixation, with continuation of the multimodal strategy. Postoperatively, the patient experienced no opioid-related complications such as respiratory depression, nausea), reported high satisfaction, and achieved early mobilization. This case highlights the clinical benefits of structured, patient-centered analgesia in trauma care, including improved recovery trajectories, reduced healthcare costs, and enhanced safety. Anesthesiologists’ expertise in balancing analgesic efficacy with safety is indispensable in optimizing perioperative outcomes for polytrauma patients.
VL  - 4
IS  - 3
ER  -

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