Related Experiment Videos

Long-term use of nerve block catheters in paediatric patients with cancer related pathologic fractures

L L Burgoyne1, L A Pereiras, L A Bertani

  • 1Division of Anesthesia and Pain Management Service, St Jude Children's Research Hospital, Memphis, TN, USA.

Anaesthesia and Intensive Care
|July 21, 2012
PubMed

Insights

Continuous nerve blocks provide safe and effective long-term pain control for children with osteosarcoma and pathologic fractures. This approach offers a viable solution for managing preoperative pain in pediatric oncology patients.

Area of Science:

  • Pediatric Orthopedics
  • Pain Management
  • Oncology

Background:

  • Osteosarcoma frequently causes pathologic fractures in children.
  • Effective preoperative pain management is crucial for these patients.
  • Continuous nerve blocks are an option for pain control.

Observation:

  • Three pediatric cases of osteosarcoma with pathologic fractures were treated.
  • Long-term continuous nerve blocks were utilized for preoperative pain control.
  • Femoral and brachial plexus catheters were used for extended durations (22-41 days).

Findings:

  • Continuous nerve blocks were administered for prolonged periods (up to 41 days) without complications.
  • The technique proved safe and effective in all three pediatric cases.
  • This highlights the feasibility of extended nerve block use in this population.

Implications:

  • Prolonged continuous nerve blocks are a safe and effective strategy for pediatric patients with osteosarcoma and pathologic fractures.
  • This method can significantly improve preoperative pain management in pediatric oncology.
  • Further research could explore wider application and long-term outcomes.

Related Concept Videos

Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...