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Pediatric Ambulatory Continuous Peripheral Nerve Blocks

Sible Antony1, Harshad Gurnaney2, Arjunan Ganesh2

  • 1Department of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA.

Anesthesiology Clinics
|August 11, 2018
PubMed

Insights

Ambulatory continuous peripheral nerve blocks are effective for pediatric orthopedic surgery pain management beyond 24 hours. This technique is safe, improves patient satisfaction, and reduces opioid use in children.

Area of Science:

  • Anesthesiology
  • Pediatric Pain Management

Background:

  • Ambulatory continuous peripheral nerve blocks are common in adults but underutilized in pediatric patients.
  • Significant pain is anticipated in pediatric orthopedic procedures lasting over 24 hours.

Purpose of the Study:

  • To evaluate the efficacy and safety of ambulatory continuous peripheral nerve blocks in pediatric patients.
  • To highlight the benefits of this technique for pain management and patient satisfaction in children.

Main Methods:

  • Perineural catheter placement techniques in children are similar to those used in adults.
  • The study focuses on orthopedic procedures requiring extended pain management.

Main Results:

  • Serious side effects associated with pediatric ambulatory continuous peripheral nerve blocks are very rare.
  • The technique demonstrates potential for increased patient and family satisfaction.

Conclusions:

  • Ambulatory continuous peripheral nerve blocks are a safe and effective option for pediatric pain management post-orthopedic surgery.
  • This method offers a compelling alternative to traditional pain management, reducing opioid-related side effects.

Keywords:
AmbulatoryComplicationsContinuous peripheral nerve blockadePediatric regional anesthesiaPeripheral nerve catheters

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