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Regional anesthesia in children: indications and limitations

ANTIGONA HASANI ; Department of Anesthesiology and Reanimation, Medical Faculty University of Prishtina “Hasan Prishtina”, Mother Thereza n.n., 10000 Prishtina, Kosovo

Puni tekst: engleski pdf 888 Kb

str. 215-218

preuzimanja: 1.238



The goal of regional anesthesia in infants and children is perioperative and postoperative pain relief. The use of regional anesthesia and analgesia provide improvement in patient outcomes, and may be helpful in special situations, such as premature babies, patients with neuromuscular disorders or non-fasting children presenting for urgent surgery. Application of ilioinguinal and
rectus sheath blocks, transverses abdominal plane blocks and wound infiltration with local anesthetics is commonly performed in combination with general anesthesia. Continuous central and perineural infusion of local anesthetics remains the technique of choice for prolonged major surgery or intense postoperative pain. Caudal block still remains the most important and safe
technique. Introduction of nerve stimulators and lastly ultrasound guided regional anesthesia techniques reduced the risks and increase the benefits of this kind of anesthesia. The safety profile of regional anesthesia presented in surveys is superior with the very low incidence of serious complications. The aim is to find the safest technique for realizing the anesthesia and analgesia in children
where a benefit overcomes the risk.

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