{"title":"Regional anaesthetic techniques for paediatric surgery","authors":"Babette Clinck, Katie Misselbrook, Andrew Dooley","doi":"10.1016/j.mpaic.2024.12.004","DOIUrl":null,"url":null,"abstract":"<div><div>Peripheral nerves blocks provide intra- and postoperative analgesia and are an important element of the multimodal approach to perioperative pain. This is particularly important in the paediatric population, where the side effects of opioids, such as respiratory depression, postoperative nausea and vomiting (PONV), and gastrointestinal motility issues, can be especially challenging. The addition of a block to the multimodal strategy allows in most situations for a significant dose reduction in opioid requirements and in some cases to a complete avoidance of opioids. In addition to this, the faster recovery times, the early discharge, and the shift to performing more procedures in day case have led to an increased popularity of using regional blocks in children. This article aims to discuss current practices, benefits and challenges associated with nerve blocks in children and offers a general approach to performing common ultrasound-guided regional techniques in the paediatric population.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 3","pages":"Pages 155-161"},"PeriodicalIF":0.2000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029924002686","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Peripheral nerves blocks provide intra- and postoperative analgesia and are an important element of the multimodal approach to perioperative pain. This is particularly important in the paediatric population, where the side effects of opioids, such as respiratory depression, postoperative nausea and vomiting (PONV), and gastrointestinal motility issues, can be especially challenging. The addition of a block to the multimodal strategy allows in most situations for a significant dose reduction in opioid requirements and in some cases to a complete avoidance of opioids. In addition to this, the faster recovery times, the early discharge, and the shift to performing more procedures in day case have led to an increased popularity of using regional blocks in children. This article aims to discuss current practices, benefits and challenges associated with nerve blocks in children and offers a general approach to performing common ultrasound-guided regional techniques in the paediatric population.
期刊介绍:
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.