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The use of ultrasound-guided regional anaesthetic techniques in neonates and young infants

P Marhofer1, P-A Lönnqvist

  • 1Department of Anaesthesia and Intensive Care Medicine, Medical University Vienna, Vienna, Austria.

Acta Anaesthesiologica Scandinavica
|July 26, 2014
PubMed

Optimal pain therapy during the perioperative period or at the neonatal intensive care unit and subsequent reduced use of opioids and various sedative drugs is an important factor for patients care. The use of various regional anaesthetic techniques in experienced hands provides excellent pain relief and has the potency to reduce the requirement for perioperative mechanical ventilation. Most of regional anaesthesia techniques are applicable also in neonates and young infants and can be used in an effective and safe manner. Ultrasound guidance should be used for all regional anaesthetic techniques to increase efficacy and safety. The spectrum of indications for ultrasound-guided regional anaesthesia in babies and infants are surgery, selective pain therapy and sympathicolysis. This review reflects an expert-based description of the most recent developments in ultrasound-guided regional anaesthetic techniques in babies and infants.

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