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Regional anaesthesia in children

Peripheral nerve block, as part of a multimodal approach to the treatment of pain, is already a standard part of anaesthesiology care not only in adults but also in pediatric patients. The basic condition for the implementation of peripheral blocks is a perfect knowledge of the topographic anatomy of the area, which together with the use of ultrasound methods allows to minimize possible risks. The aim of the algorithm is to approach the specifics of performing peripheral blockades in children. It shows the advantages that allow a small patient to access the stay in the operating room and in the postoperative period, with emphasis on the adequate effect of postoperative pain.

Author: Martina Kosinová, Tereza Musilová, Anna Hrazdírová, Tereza Štenclová

Institution: Faculty of Medicine at Masaryk University in Brno

Medical discipline: Emergency Medicine

Keywords: Regional anesthesia | Ultrasonography | Local anesthetic

Educational evel: Undergraduate level | Graduate

Peripheral nerve block, as part of a multimodal approach to the treatment of pain, is already a standard part of anaesthesiology care not only in adults but also in pediatric patients. The basic condition for the implementation of peripheral blocks is a perfect knowledge of the topographic anatomy of the area, which together with the use of ultrasound methods allows to minimize possible risks. The aim of the algorithm is to approach the specifics of performing peripheral blockades in children. It shows the advantages that allow a small patient to access the stay in the operating room and in the postoperative period, with emphasis on the adequate effect of postoperative pain.


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Review

The algorithm describes a situation of indication for regional anaesthesia. It is a good example of logical approach and practical procedure for providing postoperative analgesia for arthroscopic surgery in children. This algorithm shows the analgesic needs for most patients. As a part of multimodal approach, non-opioid analgesics should be given at the same time.
 

publikováno: 5.6.2021 | last modified on: 5.6.2021