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Related Experiment Videos

Intercostal nerve blockade for children.

M P Shelly, G R Park

    Anaesthesia
    |May 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    This study introduces a modified intercostal nerve blockade technique for pediatric pain management after liver transplants. The procedure significantly reduced opioid needs, with 56% of children requiring no additional pain relief.

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    Area of Science:

    • Pediatric Anesthesiology
    • Thoracic Surgery
    • Pain Management

    Background:

    • Postoperative pain management in children undergoing liver transplantation is challenging.
    • Artificial ventilation weaning can be complicated by inadequate analgesia.

    Purpose of the Study:

    • To describe a modified intercostal nerve blockade technique for pediatric patients.
    • To evaluate its efficacy in providing analgesia after liver transplantation and aiding mechanical ventilation weaning.

    Main Methods:

    • A modified intercostal nerve blockade technique was applied to ten pediatric patients.
    • The procedure was performed on 29 occasions for analgesia and to facilitate ventilator weaning.

    Main Results:

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  • Patients receiving intercostal nerve blockade had significantly lower opioid requirements.
  • 56% of children who underwent the procedure required no additional analgesia.
  • One patient developed a pneumothorax, indicating a potential risk.

    • Conclusions:

    • The modified intercostal nerve blockade is a safe and effective technique for pediatric postoperative analgesia after liver transplantation.
    • It may also be beneficial for managing other pediatric surgical patients requiring pain relief and respiratory support.