Safety Assessment of Prolonged Nerve Catheters in Pediatric Trauma Patients: A Case Series Study
Introduction: Nerve block catheters (NBCs) are increasingly used for pain management in pediatric trauma patients. While short-term efficacy has been well established, the long-term safety of NBCs is unknown. Methods/Cases: The retrospective chart review includes a cohort of nine pediatric trauma pa...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-02-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/11/2/251 |
| _version_ | 1797298592418889728 |
|---|---|
| author | Nicole Verdecchia Alexander Praslick Mihaela Visoiu |
| author_facet | Nicole Verdecchia Alexander Praslick Mihaela Visoiu |
| author_sort | Nicole Verdecchia |
| collection | DOAJ |
| description | Introduction: Nerve block catheters (NBCs) are increasingly used for pain management in pediatric trauma patients. While short-term efficacy has been well established, the long-term safety of NBCs is unknown. Methods/Cases: The retrospective chart review includes a cohort of nine pediatric trauma patients aged 3–15 years who received 52 peripheral nerve block catheters and epidurals for pain management. This study aimed to investigate the potential risks associated with the prolonged use of NBCs in pediatric trauma cases. Results: The NBCs (48 peripheral catheters and 4 epidural catheters) were maintained for about 2 weeks. The number of catheters per patient varied from 1 to 11. The study noted a low frequency of catheter-related complications. No catheter-site infection or local anesthetic toxicity symptoms were reported. Discussion: These findings suggest that NBCs can be safely maintained for extended periods in pediatric trauma patients without significantly increasing complications. Careful monitoring and adherence to infection control practices remain paramount when implementing extended catheter use. |
| first_indexed | 2024-03-07T22:38:16Z |
| format | Article |
| id | doaj.art-f9a9d75880b54ca195e0678bd4d5a9d5 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-07T22:38:16Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-f9a9d75880b54ca195e0678bd4d5a9d52024-02-23T15:12:30ZengMDPI AGChildren2227-90672024-02-0111225110.3390/children11020251Safety Assessment of Prolonged Nerve Catheters in Pediatric Trauma Patients: A Case Series StudyNicole Verdecchia0Alexander Praslick1Mihaela Visoiu2Children’s Hospital of Pittsburgh, University of Pittsburgh Medical Center, 4401 Penn Ave., Pittsburgh, PA 15224, USAChildren’s Hospital of Pittsburgh, University of Pittsburgh Medical Center, 4401 Penn Ave., Pittsburgh, PA 15224, USAChildren’s Hospital of Pittsburgh, University of Pittsburgh Medical Center, 4401 Penn Ave., Pittsburgh, PA 15224, USAIntroduction: Nerve block catheters (NBCs) are increasingly used for pain management in pediatric trauma patients. While short-term efficacy has been well established, the long-term safety of NBCs is unknown. Methods/Cases: The retrospective chart review includes a cohort of nine pediatric trauma patients aged 3–15 years who received 52 peripheral nerve block catheters and epidurals for pain management. This study aimed to investigate the potential risks associated with the prolonged use of NBCs in pediatric trauma cases. Results: The NBCs (48 peripheral catheters and 4 epidural catheters) were maintained for about 2 weeks. The number of catheters per patient varied from 1 to 11. The study noted a low frequency of catheter-related complications. No catheter-site infection or local anesthetic toxicity symptoms were reported. Discussion: These findings suggest that NBCs can be safely maintained for extended periods in pediatric trauma patients without significantly increasing complications. Careful monitoring and adherence to infection control practices remain paramount when implementing extended catheter use.https://www.mdpi.com/2227-9067/11/2/251prolonged nerve blockinfection riskregional anesthesiapediatric regional anesthesiaacute paintrauma |
| spellingShingle | Nicole Verdecchia Alexander Praslick Mihaela Visoiu Safety Assessment of Prolonged Nerve Catheters in Pediatric Trauma Patients: A Case Series Study Children prolonged nerve block infection risk regional anesthesia pediatric regional anesthesia acute pain trauma |
| title | Safety Assessment of Prolonged Nerve Catheters in Pediatric Trauma Patients: A Case Series Study |
| title_full | Safety Assessment of Prolonged Nerve Catheters in Pediatric Trauma Patients: A Case Series Study |
| title_fullStr | Safety Assessment of Prolonged Nerve Catheters in Pediatric Trauma Patients: A Case Series Study |
| title_full_unstemmed | Safety Assessment of Prolonged Nerve Catheters in Pediatric Trauma Patients: A Case Series Study |
| title_short | Safety Assessment of Prolonged Nerve Catheters in Pediatric Trauma Patients: A Case Series Study |
| title_sort | safety assessment of prolonged nerve catheters in pediatric trauma patients a case series study |
| topic | prolonged nerve block infection risk regional anesthesia pediatric regional anesthesia acute pain trauma |
| url | https://www.mdpi.com/2227-9067/11/2/251 |
| work_keys_str_mv | AT nicoleverdecchia safetyassessmentofprolongednervecathetersinpediatrictraumapatientsacaseseriesstudy AT alexanderpraslick safetyassessmentofprolongednervecathetersinpediatrictraumapatientsacaseseriesstudy AT mihaelavisoiu safetyassessmentofprolongednervecathetersinpediatrictraumapatientsacaseseriesstudy |