Ultrasound guided lower extremity blocks

Flack, Sean H.; Anderson, Cole

doi:10.1111/j.1460-9592.2011.03666.x

Cited by 35 publications

(22 citation statements)

References 49 publications

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“…If using a double block consider the total amount of local anesthetic. [198][199][200][201][202] • If PNB is contraindicated: fentanyl or opioid of choice in divided doses.…”

Section: Basic Levelmentioning

confidence: 99%

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Vittinghoff

Lönnqvist

Mossetti

et al. 2018

Pediatric Anesthesia

117

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The main remit of the European Society for Paediatric Anaesthesiology (ESPA) Pain Committee is to improve the quality of pain management in children. The ESPA Pain Management Ladder is a clinical practice advisory based upon expert consensus to help to ensure a basic standard of perioperative pain management for all children. Further steps are suggested to improve pain management once a basic standard has been achieved. The guidance is grouped by the type of surgical procedure and layered to suggest basic, intermediate, and advanced pain management methods. The committee members are aware that there are marked differences in financial and personal resources in different institutions and countries and also considerable variations in the availability of analgesic drugs across Europe. We recommend that the guidance should be used as a framework to guide best practice.

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“…If using a double block consider the total amount of local anesthetic. [198][199][200][201][202] • If PNB is contraindicated: fentanyl or opioid of choice in divided doses.…”

Section: Basic Levelmentioning

confidence: 99%

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Vittinghoff

Lönnqvist

Mossetti

et al. 2018

Pediatric Anesthesia

117

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“…Single‐shot blockade can be performed; however, continuous regional analgesia by perineural catheter placement is preferred for long‐term analgesia and facilitation of physical therapy . Currently, the most widely used approach for chronic pain treatment is via the popliteal fossa, in which the nerve is identified with ultrasound guidance, followed by administration of local anesthetic at various concentrations—along with possible adjuvants such as alpha‐2 agonists—based on the nature and intensity of pain …”

Section: Discussionmentioning

confidence: 99%

Interventional Procedures for Chronic Pain in Children and Adolescents: A Review of the Current Evidence

2015

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This review discusses the role of interventional procedures in the treatment of chronic pain in children and adolescents. Due to lack of scientific evidence, significant controversy surrounds the utility of invasive techniques for managing pediatric chronic pain states. Interventional procedures are a widely accepted modality for pain management in adults. The use of such techniques in children is supported only by case reports, case series, and very few randomized controlled studies. In addition, the potential for severe complications leaves open a debate on the safety of these invasive procedures, which must be confirmed by more extensive and accurate prospective studies.

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“…Conservative treatment methods for extraspinal sciatica include physical therapy, corticosteroid injection (either perineural or intramuscular into the piriformis), or intramuscular injection of botulinum toxin A (Botox, Allergan) into the piriformis muscle. US-guided perineural sciatic nerve injection techniques have been described in the anesthesiology literature for perioperative nerve block [39,40]. These techniques describe blockade at the distal thigh for surgical procedures at the knee and below it.…”

Section: Sciatic Nervementioning

confidence: 99%