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Continuous paravertebral block in children. Initial experience
1Department of Pediatric Anesthesiology and Intensive Care, Karolinska Institute, St Gorans Pediatric Hospital, Stockholm, Sweden.
Insights
Continuous paravertebral block offers effective pain relief in pediatric patients undergoing surgery. This technique provides good intraoperative and postoperative analgesia, showing promise for pediatric regional anesthesia.
Area of Science:
- Anesthesiology
- Pediatric Surgery
Background:
- Continuous paravertebral block is a regional anesthesia technique.
- Its application in pediatric patients has not been previously documented.
Purpose of the Study:
- To describe the use of continuous paravertebral block in children.
- To evaluate its efficacy in pain management for pediatric surgical procedures.
Main Methods:
- The study involved five pediatric patients aged 7 months to 8 years.
- Continuous paravertebral block was performed for renal surgery or cholecystectomy.
Main Results:
- The procedure was technically feasible and not difficult to perform.
- Good intraoperative and postoperative analgesia was achieved in all patients.
Conclusions:
- Continuous paravertebral block is a promising technique for pediatric pain management.
- It may become a valuable tool in pediatric regional anesthesia.
Abstract:
Continuous paravertebral block has not previously been described for use in children. This study reports the use of this technique in five patients (aged 7 months to 8 years) scheduled for renal surgery or cholecystectomy. The block was not difficult to perform and provided good intra- and postoperative analgesia. Continuous paravertebral block appears to be a promising technique for pain management in children and might prove a valuable addition in the field of paediatric regional anaesthesia.