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Recent trends in paediatric regional anaesthesia
1Children Anaesthesia Services and Surya Children Hospital, Holy Spirit Hospital, Holy Family Hospital, Breach Candy Hospital, Mumbai, Maharashtra, India.
Insights
Pediatric regional anesthesia offers safe and effective perioperative pain management for children. This review covers current techniques, their benefits, and guidance for selecting appropriate pediatric nerve blocks.
Area of Science:
- Anesthesiology
- Pediatric Surgery
Background:
- Pediatric regional anesthesia is a rapidly advancing field.
- It provides perioperative pain relief for neonates, infants, toddlers, and children.
- Regional anesthesia offers advantages over general anesthesia by minimizing physiological disturbance.
Purpose of the Study:
- To provide a comprehensive overview of pediatric regional anesthesia.
- To discuss traditional and novel techniques, including their pros and cons.
- To offer guidance on selecting appropriate nerve blocks for pediatric patients.
Main Methods:
- A comprehensive literature search was conducted in May 2019.
- Databases searched included MEDLINE, PubMed, and Google Scholar.
- Keywords focused on pediatric central neuraxial blocks, peripheral nerve blocks, and safety.
Main Results:
- The review details various pediatric regional anesthesia techniques.
- Advantages and disadvantages of each method are discussed.
- Pointers for selecting specific blocks are provided.
Conclusions:
- Pediatric regional anesthesia is a crucial and evolving area of pediatric anesthesia.
- Understanding available techniques and selection criteria is essential for optimal patient care.
- This review serves as a guide to the current landscape of pediatric regional anesthesia.
Abstract:
Paediatric regional anaesthesia today is one of the fastest growing and exciting aspects of paediatric anaesthesia, which requires an ongoing fervour to learn. Application of paediatric regional anaesthesia in neonates, infants, toddlers and children is undertaken to treat perioperative pain without disturbing the physiological milieu with additional advantages elaborated in the review. The available choices, traditional methods and the most recently described methods are discussed with emphasis on their advantages and disadvantages. Clear pointers for selection of the blocks are also discussed. To present a holistic overview of this rapidly growing subject, a comprehensive literature search was performed in May 2019 in MEDLINE, PubMed and Google Scholar to retrieve articles pertaining to all the above topics. The keywords used in various combinations included 'Central neuraxial, blocks, Paediatric(s)', 'Peripheral Nerve blocks', 'Safety, controversies, regional, anaesthesia'.
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