Newer Nerve Blocks in Pediatric Surgery

Publication date: Available online 20 September 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Jeremy Green, Kelly S. Davidson, Sonja Gennuso, Morgan Brown, Allison Pinner, Jordan Renschler, Kelsey Cramer, Rachel J. Kaye, Elyse M. Cornett, Alan D. Kaye, Ira W. Padnos, Richard D. Urman, Charles J. FoxAbstractPurposeof review: The purpose of this manuscript is to provide a brief discussion of the current direction in pediatric regional anesthesia, highlighting both newer nerve blocks and techniques, as well as traditional blocks.Recent findingsThe number of nerve blocks performed in pediatric patients continues to increase. This growth is likely related in part to the recent focus on perioperative multimodal analgesia, in addition to growing data demonstrating safety and efficacy in this patient population. Multiple studies by the Pediatric Regional Anesthesia Network (PRAN) and the French-Language Society of Pediatric Anesthesiologists (ADARPEF) have demonstrated a lack of major complications and a general overall safety with pediatric nerve blocks. The growing prevalence of ultrasound guided regional anesthesia has not only improved the safety profile, but has also increased the efficacy of both peripheral nerve blocks and perineural catheters.SummaryAs the push for multimodal analgesia increases and breadth of pediatric regional anesthesia continues to expand, further large prospective studies will be needed to demonstrate continued efficacy and over...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research