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Regional anesthesia and analgesia

N Sethna1

  • 1Department of Anesthesia, Children's Hospital, Boston, MA 02115, USA.

Seminars in Perinatology
|November 20, 1998
PubMed
Summary

Local and regional anesthesia offer benefits for infant pain control but require more research. This review examines their use, effectiveness, and safety in neonates and infants.

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Area of Science:

  • Pediatric Anesthesiology
  • Pain Management

Background:

  • Local and regional anesthetic techniques are used for infant pain control.
  • These techniques may offer advantages similar to adults in pediatric patients.
  • Controlled clinical trials comparing these methods to conventional analgesia are limited.

Purpose of the Study:

  • To discuss the clinical application of local and regional anesthetic techniques for pain control in neonates and infants.
  • To review the effectiveness, safety, and outcomes of these anesthetic methods.
  • To compare regional anesthesia with conventional analgesic strategies in infants.

Main Methods:

  • Review of available literature on local and regional anesthetic techniques.
  • Discussion of clinical applications in neonates and infants.
  • Analysis of effectiveness, safety, and outcomes data.

Main Results:

  • Regional anesthesia has a limited but significant role in infant pain management.
  • Potential advantages exist, but evidence from controlled trials is scarce.
  • The article synthesizes current knowledge on application, efficacy, and safety.

Conclusions:

  • Local and regional anesthesia are valuable tools for infant pain management.
  • Further controlled clinical trials are needed to establish definitive advantages and safety profiles.
  • Evidence-based guidelines are necessary for optimal use in pediatric patients.

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