Continuous Posterior Lumbar Plexus Block for Acute Postoperative Pain Control in Young Children

Continuous Psoas Compartment Blocks After Major Orthopedic Surgery in Children: A Prospective Computed Tomographic Scan and Clinical Studies

“…After 3-in-1 block, the LA does not reach the obturator nerve at a concentration sufficient to achieve sensory block (21). In children, Sciard et al (11) have confirmed the importance of lateral cutaneous and obturator nerve blockade after hip surgery for pain relief. In this population, the extent of sensory block is difficult to evaluate because of pelvic casts normally applied after hip surgery, but the present very low pain scores show the effectiveness of this analgesic technique.…”

“…There are few studies evaluating the effectiveness of continuous LP blocks for postoperative analgesia in children, either by femoral peripheral nerve block (17)(18)(19) or by CPCB (11). In adults, CPCBs achieve frequent success regarding sensory blockade of the femoral, obturator, and lateral femoral cutaneous nerves (8,10).…”

“…The median age was 8 (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) yr. Twelve patients were ASA physical status I and three were ASA class II. The median weight was 30 (range, 10 -64) kg.…”

“…Continuous psoas compartment block (CPCB) providing excellent analgesia similar to that obtained in adults has been reported in children (11). No prospective study has previously evaluated LP location in children according to age or assessed CPCB placement procedures using landmarks other than those originally described by Winnie et al (6).…”

Perioperative Pain Management of a Complex Orthopedic Surgical Procedure with Double Continuous Nerve Blocks in a Burned Child

“…Peripheral nerve blocks (PNBs) are safe and effective techniques in children (4). Although only a few pediatric studies of continuous PNBs have been reported, they have yielded promising results against postoperative pain (5)(6)(7)(8). There is little information on complications, infusion rates, or plasma local anesthetic levels in children (5)(6)(7).…”