Ultrasound-guided proximal and distal sciatic nerve blocks in children

Geffen, Geert‐Jan van; Pirotte, Thierry; Gielen, M.J.M.; Scheffer, Gert-Jan; Bruhn, Jørgen

doi:10.1016/j.jclinane.2009.07.009

Cited by 20 publications

(21 citation statements)

References 23 publications

(19 reference statements)

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“…There were 23 and 13 articles reporting quality and outcomes of ultrasound imaging for the pediatric population in peripheral and neuraxial blockade, respectively ( Table 2). From the peripheral nerve block (PNB) set, there were 10 RCTs, 4-13 6 prospective observational studies, [14][15][16][17][18][19] 2 retrospective studies, 20,21 and 5 case series [22][23][24][25][26] (Fig. 2).…”

Section: Resultsmentioning

confidence: 99%

“…25 In axillary brachial plexus blocks for forearm and hand surgery, sensory block duration was longer with ultrasound guidance compared with nerve stimulation guidance (29.4% vs 33.3% experienced pain within the first 12 hours postoperatively), but there was no significant difference in the analgesic effect between the block techniques at 2-hour intervals up until 12 hours postoperatively. 4 Given the increasing popularity of using TAP blocks in children, Palmer et al 17 prospectively audited 27 TAP blocks to determine the extent of dermatomal block.…”

Section: B (Sufficient Postoperative Analgesia)mentioning

confidence: 89%

“…Ultrasound imaging allows for accurate identification of nerves as well as important anatomical structures 15,19,25,26 and can aid in the placement of the needle/catheter. 21,25 Three studies 21,23,24 reported being able to visualize the needle tip in all patients, and 1 study 23 reported visualization of the catheter tip in 73% of sciatic perineural catheter placements in children listed for congenital talipoequinovarus surgery.…”

Section: B (Sufficient Postoperative Analgesia)mentioning

confidence: 99%

“…21,25 Three studies 21,23,24 reported being able to visualize the needle tip in all patients, and 1 study 23 reported visualization of the catheter tip in 73% of sciatic perineural catheter placements in children listed for congenital talipoequinovarus surgery. Boretsky et al 21 was able to confirm the positioning of thoracic paravertebral perineural block catheters with ultrasound guidance.…”

Section: B (Sufficient Postoperative Analgesia)mentioning

confidence: 99%

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Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

Lam

Corry

Tsui

2016

Regional Anesthesia and Pain Medicine

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Studies in the current review provide stronger evidence and have addressed a number of outcomes that were previously inconsistent or lacked strength in evidence. In the current systematic review, we identified more studies in a shorter period compared with the previous review, and these studies contain higher levels of evidence compared with what we previously found. Randomized controlled trials and well-designed prospective observational studies have replaced case series. Stronger evidence from the literature suggests that ultrasound-guided peripheral blocks decrease block performance time when compared with nerve stimulation (but take longer than the landmark technique), increase block success, and increase block quality (as measured by analgesic consumption, block duration, and pain scores). Ultrasound guidance in neuraxial blocks improves needling time, predicts epidural depth, allows visualization of the catheter and local anesthetic spread, and improves block quality. Furthermore, we identified 2 large-scale prospective studies describing the incidence of adverse events and complications in pediatric regional anesthesia. The increase in evidence presented in this review reflects the efficacy and prevalent use of ultrasound imaging in pediatric regional anesthesia.

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Section: Resultsmentioning

confidence: 99%

Section: B (Sufficient Postoperative Analgesia)mentioning

confidence: 89%

Section: B (Sufficient Postoperative Analgesia)mentioning

confidence: 99%

Section: B (Sufficient Postoperative Analgesia)mentioning

confidence: 99%

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Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

Lam

Corry

Tsui

2016

Regional Anesthesia and Pain Medicine

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“…Relevant pediatric literatureAnesthesiologist-performed ultrasound allows for visualization of peripheral nerves and their surrounding anatomy in real time, thereby enabling reliable drug delivery to the target nerve while avoiding mechanical nerve injury, local and systemic drug toxicity, or injection into adjacent structures in pediatric patients [392–394]. …”

Section: Ultrasound-guided Proceduresmentioning

confidence: 99%

Pediatric emergency medicine point-of-care ultrasound: summary of the evidence

et al. 2016

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The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, pediatric emergency medicine providers have embraced this technology in everyday practice. Recently, the American Academy of Pediatrics published a policy statement endorsing the use of point-of-care ultrasound by pediatric emergency medicine providers. To date, there is no standard guideline for the practice of point-of-care ultrasound for this specialty. This document serves as an initial step in the detailed “how to” and description of individual point-of-care ultrasound examinations. Pediatric emergency medicine providers should refer to this paper as reference for published research, objectives for learners, and standardized reporting guidelines.

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Regional Block Catheter Insertion Using Ultrasonography and Stimulating Catheters

Tsui

2016

Pediatric Atlas of Ultrasound- And Nerve Stimulation-Guided Regional Anesthesia

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Ultrasound-guided proximal and distal sciatic nerve blocks in children

Cited by 20 publications

References 23 publications

Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

Evidence for the Use of Ultrasound Imaging in Pediatric Regional Anesthesia

Pediatric emergency medicine point-of-care ultrasound: summary of the evidence

Regional Block Catheter Insertion Using Ultrasonography and Stimulating Catheters

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