Related Experiment Video
Updated: Jun 18, 2025
State of the Art Cranial Ultrasound Imaging in Neonates
Published on: February 2, 2015
Expert's tips on regional blocks in neonates and infants
Vrushali Chandrashekhar Ponde1, Amrita Rath2, Neha Singh3
1Department of Anaesthesiology, Surya Children Hospital, Children Anaesthesia Services, Mumbai, India.
Insights
Pediatric regional anesthesia (RA) offers significant benefits for neonates and infants, optimizing perioperative pain management and physiological stability. This review details RA techniques, dosages, and considerations for this vulnerable population.
Area of Science:
- Pediatric Anesthesiology
- Regional Anesthesia
- Pain Management
Background:
- Pediatric regional anesthesia (RA) is a rapidly evolving field crucial for managing pain in neonates and infants.
- Effective perioperative pain control is vital for maintaining physiological balance in young patients.
Purpose of the Study:
- To review the contemporary significance and application of RA in neonates and infants.
- To examine advantages, disadvantages, and techniques of RA for pediatric patients.
- To provide clinicians with a nuanced understanding of RA for informed decision-making.
Main Methods:
- Comprehensive review of current literature on pediatric regional anesthesia.
- Analysis of conventional and novel RA techniques.
- Examination of anesthetic dosages, volumes, and infusion practices for neonates and infants.
Main Results:
- RA enhances perioperative pain management and preserves physiological balance in pediatric patients.
- Discussion of unique anatomical and physiological considerations for pediatric RA, including congenital anomalies.
- Detailed insights into local anesthetic dosages, volumes, continuous infusions, and associated practical issues.
Conclusions:
- RA is a critical component of pediatric anesthesia, requiring specialized knowledge for neonates and infants.
- Understanding specific techniques, dosages, and patient characteristics is essential for safe and effective RA.
- This review provides clinicians with practical guidance for selecting and implementing RA in pediatric patients.
Abstract:
Pediatric regional anesthesia (RA) has emerged as a rapidly advancing dimension within pediatric anesthesia, demanding a continual commitment to knowledge acquisition. This review underscores the contemporary significance of this specialty, focusing on its application in neonates and infants. The primary objective of RA is to address perioperative pain effectively while preserving the delicate physiological balance, thereby enhancing overall patient care. This review explores the advantages offered by RA in this age group. Furthermore, conventional, and recently introduced techniques of RA are examined by exploring the advantages and disadvantages of these methods. The aim is to provide clinicians with a nuanced understanding of their applicability in different clinical scenarios. Additionally, the review elucidates the unique considerations associated with pediatric RA, acknowledging pediatric patients' distinctive anatomical and physiological characteristics. The exceptional cases of congenital anomalies and their implications for the choice of RA are considered. An aspect of the review is its focus on dosages of local anesthetics and the volumes required for various blocks in neonates and infants. The dosages for continuous infusion and practical issues with infusions are considered. Complications due to RA are described with their prevention and treatment. The review offers pragmatic insights into the selection criteria for various regional blocks, aiding anesthesiologists in making informed decisions tailored to individual patient needs.
More Related Videos
05:58Application of an Amplitude-integrated EEG Monitor Cerebral Function Monitor to Neonates
Published on: September 6, 2017
06:29Electrophysiological Measurement of Noxious-evoked Brain Activity in Neonates Using a Flat-tip Probe Coupled to Electroencephalography
Published on: November 29, 2017
Related Concept Videos
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
One of the advantages of...
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...