Recent developments in paediatric neuraxial blocks
Paediatric anaesthesia and paediatric regional anaesthesia are intertwined. Almost all surgeries unless contradicted could be and should be supplemented with a regional block. The main objective of this review is to elaborate on the recent advances of the central neuraxial blocks, such as applicatio...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Indian Journal of Anaesthesia |
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| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=5;spage=470;epage=478;aulast=Ponde |
| _version_ | 1819295621554634752 |
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| author | Vrushali Chandrashekhar Ponde |
| author_facet | Vrushali Chandrashekhar Ponde |
| author_sort | Vrushali Chandrashekhar Ponde |
| collection | DOAJ |
| description | Paediatric anaesthesia and paediatric regional anaesthesia are intertwined. Almost all surgeries unless contradicted could be and should be supplemented with a regional block. The main objective of this review is to elaborate on the recent advances of the central neuraxial blocks, such as application of ultrasound guidance and electrical stimulation in the pursuit of safety and an objective end point. This review also takes account of the traditional technique and understand the benefits as well the risk of each as compared with the recent technique. The recent trends in choosing the most appropriate peripheral block for a given surgery thereby sparing the central neuroaxis is considered. A penile block for circumcision or a sciatic block for unilateral foot surgery, rather than caudal epidural would have a better risk benefit equation. Readers will find a special mention on the recent thoughts on continuous epidural analgesia in paediatrics, especially its rise and fall, yet its unique importance. Lastly, the issue of block placements under sedation or general anaesthesia with its implication in this special population is dealt with. We conducted searches in MEDLINE (PubMed) and assessed the relevance of the abstracts of citations identified from literature searches. The search was carried out in English, for last 10 years, with the following key words: Recent advances in paediatric regional anaesthesia; ultrasound guidance for central neuraxial blocks in children; role of electrical stimulation in neuraxial blocks in children; complications in neuraxial block. Full-text articles of potentially relevant abstracts were retrieved for further review. |
| first_indexed | 2024-12-24T04:45:08Z |
| format | Article |
| id | doaj.art-d91fb4e68ece49e7b61af7e2a71da2ae |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-24T04:45:08Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-d91fb4e68ece49e7b61af7e2a71da2ae2022-12-21T17:14:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492012-01-0156547047810.4103/0019-5049.103964Recent developments in paediatric neuraxial blocksVrushali Chandrashekhar PondePaediatric anaesthesia and paediatric regional anaesthesia are intertwined. Almost all surgeries unless contradicted could be and should be supplemented with a regional block. The main objective of this review is to elaborate on the recent advances of the central neuraxial blocks, such as application of ultrasound guidance and electrical stimulation in the pursuit of safety and an objective end point. This review also takes account of the traditional technique and understand the benefits as well the risk of each as compared with the recent technique. The recent trends in choosing the most appropriate peripheral block for a given surgery thereby sparing the central neuroaxis is considered. A penile block for circumcision or a sciatic block for unilateral foot surgery, rather than caudal epidural would have a better risk benefit equation. Readers will find a special mention on the recent thoughts on continuous epidural analgesia in paediatrics, especially its rise and fall, yet its unique importance. Lastly, the issue of block placements under sedation or general anaesthesia with its implication in this special population is dealt with. We conducted searches in MEDLINE (PubMed) and assessed the relevance of the abstracts of citations identified from literature searches. The search was carried out in English, for last 10 years, with the following key words: Recent advances in paediatric regional anaesthesia; ultrasound guidance for central neuraxial blocks in children; role of electrical stimulation in neuraxial blocks in children; complications in neuraxial block. Full-text articles of potentially relevant abstracts were retrieved for further review.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=5;spage=470;epage=478;aulast=PondeElectrostimulationpaediatric central neuraxial blocksrecent developmentsultrasound |
| spellingShingle | Vrushali Chandrashekhar Ponde Recent developments in paediatric neuraxial blocks Indian Journal of Anaesthesia Electrostimulation paediatric central neuraxial blocks recent developments ultrasound |
| title | Recent developments in paediatric neuraxial blocks |
| title_full | Recent developments in paediatric neuraxial blocks |
| title_fullStr | Recent developments in paediatric neuraxial blocks |
| title_full_unstemmed | Recent developments in paediatric neuraxial blocks |
| title_short | Recent developments in paediatric neuraxial blocks |
| title_sort | recent developments in paediatric neuraxial blocks |
| topic | Electrostimulation paediatric central neuraxial blocks recent developments ultrasound |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=5;spage=470;epage=478;aulast=Ponde |
| work_keys_str_mv | AT vrushalichandrashekharponde recentdevelopmentsinpaediatricneuraxialblocks |