Related Experiment Video

Updated: Jan 26, 2026

Author Spotlight: Exploring Venous Waveforms for Non-Invasive Respiratory Monitoring in Pigs
04:10

Author Spotlight: Exploring Venous Waveforms for Non-Invasive Respiratory Monitoring in Pigs

Published on: March 8, 2024

1.8K

Continuous Transversalis Fascia Plane Catheter Infusion in a Pediatric Patient Undergoing Alveolar Cleft Repair With

Luis Sequera-Ramos1, Jordan M Ruby1, Oksana A Jackson2

  • 1From the Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

A&A Practice
|April 12, 2019
PubMed

Insights

Transversalis fascia plane block offers effective pain management for pediatric patients undergoing iliac crest bone graft harvesting. Continuous infusion via catheter demonstrates feasibility for managing postoperative pain in children.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Surgical Innovation

Background:

  • Iliac crest bone graft harvesting for alveolar cleft repair in children causes significant postoperative pain.
  • Transversalis fascia plane block is an effective alternative to local wound infiltration in adults for bone graft pain.
  • Limited data exists on its use and continuous catheter feasibility in pediatric populations.

Observation:

  • A 6-year-old girl underwent alveolar cleft repair requiring iliac crest bone graft.
  • A continuous transversalis fascia plane infusion catheter was utilized for pain management.
  • The procedure involved the placement and management of this continuous catheter.

Findings:

  • The continuous transversalis fascia plane infusion catheter was successfully implemented in a pediatric patient.
  • This approach managed postoperative pain associated with iliac crest bone graft harvesting.
  • The feasibility of a continuous catheter in children for this indication was demonstrated.

Implications:

  • This case suggests the transversalis fascia plane block with continuous infusion is a viable option for pediatric pain control after bone grafting.
  • Further research is warranted to explore its broader application in pediatric surgical pain management.
  • This technique may improve recovery and reduce opioid reliance in children undergoing similar procedures.

More Related Videos

Intra-iliac Artery Injection for Efficient and Selective Modeling of Microscopic Bone Metastasis07:00

Intra-iliac Artery Injection for Efficient and Selective Modeling of Microscopic Bone Metastasis

Published on: September 26, 2016

17.3K
Author Spotlight: Establishing an Accurate Microhardness Testing Protocol for Craniofacial Tissues06:16

Author Spotlight: Establishing an Accurate Microhardness Testing Protocol for Craniofacial Tissues

Published on: April 26, 2024

1.2K

Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
5.2K
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
214
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
276
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
203
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
262
Mismatch Repair01:36

Mismatch Repair

Overview
43.6K