Neuraxial blockade is a useful technique in the paediatric population, particularly in cases where the risks of other anaesthetic techniques outweigh their benefits. Ultrasound-guided approaches are becoming more popular than established classical techniques. In paediatrics, the development of new approaches to neuraxial techniques have been slow and their contribution yet to be demonstrated in prospective studies. We describe a successful case related to surgery on an infant with Crouzon syndrome, in which we used a new combined ultrasound-guided block.
A continuous peripheral nerve block (CPNB) consists of a percutaneously inserted catheter with its tip adjacent to a target nerve/plexus through which local anesthetic may be administered (by infusion or intermittent boluses), providing a prolonged block that may be titrated to the desired effect. It has proven to be a very effective strategy in postoperative pain management.We present two cases showing their benefits on inpatients on a Surgical Ward.
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