Paediatric Ultrasound-Guided Regional Anaesthesia: Peripheral Techniques

Roberts, Steve; Neary, Helen

doi:10.5005/jp-journals-10014-1016

Cited by 3 publications

(1 citation statement)

References 43 publications

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“…Pediatric patients have areas around nerves and plexus tightly bound which is unique to this population thereby increasing the success of regional blocks if the drug is deposited around the nerve or plexuses appreciated better under USG. [ 4 ] Needle entry in USG blocks is more parallel to the skin than in the nerve-stimulated technique, and hence the needle traverses more structures under the ultrasound beam resulting in offsetting all anatomical landmarks and skin markings of the conventional method; an anesthesiologist has to learn to manipulate longer needles. [ 5 6 ]…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided peripheral and truncal blocks in pediatric patients

Delvi

2011

Saudi J Anaesth

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Ultrasound has added a feather in the cap of the anesthesiologists as real-time nerve localization and drug deposition around the nerve structure under real-time guidance is now a reality, as the saying “seeing is believing” has been proven true with the advent of ultrasound in anesthesia. Pediatric patients are a unique group regarding their anatomical and physiological features in comparison with adults; regional blocks in adults with the anatomical landmark and surface marking are almost uniform across the adult population. The landmark technique in pediatric patients is not reliable in all patients due to the variability in the age and size; the advent of ultrasound in assisting nerve localization has changed the way regional blocks are achieved in children and the range of blocks performed on adults can now be performed on pediatric patients; with advances in the technology and dexterity of ultrasound equipment, the chances of success of blocks has increased with a smaller dose of the local anesthetic in comparison to the traditional methods. Anesthesiologists are now able to perform blocks with more accuracy and avoid complications like intravascular injection and injury to the pleura and peritoneum during routine practice with the assistance of high-frequency transducers and top of the range portable ultrasound machines; catheters can be inserted to provide a continuous analgesia in the postoperative period. This review article describes the common peripheral blocks in pediatric patients; the readers are encouraged to gain experience by attending workshops, hands-on practice under supervision, and conduct random controlled trials pertaining to ultrasound-guided blocks in the pediatric age group. The recent literature is encouraging and further research is promising; a wide range of blocks being described in detail by many prominent experts from all over the world.

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Section: Introductionmentioning

confidence: 99%

Ultrasound-guided peripheral and truncal blocks in pediatric patients

Delvi

2011

Saudi J Anaesth

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Ultrasound-guided interscalene brachial plexus block in a child with acute upper respiratory infection

2017

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The brachial plexus is commonly blocked at the interscalene level for shoulder and proximal humeral surgery. There are only a few publications about the interscalene technique in pediatric patients for a peripheral nerve block. Ultrasound-guided peripheral nerve block has become increasingly more popular for pediatric patients because of high success rates and safety concerns. We used ultrasound-guided interscalene brachial plexus block in an 18-month-old child with an acute upper respiratory infection who had a supracondylar fracture of the humerus.

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