Epidemiology and morbidity of regional anesthesia in children: a follow-up one-year prospective survey of the French-Language Society of Paediatric Anaesthesiologists (ADARPEF)

Ecoffey, Claude; Lacroix, Frédéric; Giaufre, E.; Orliaguet, Gilles; Courrèges, Philippe

doi:10.1111/j.1460-9592.2010.03448.x

Cited by 340 publications

(302 citation statements)

References 18 publications

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“…They are performed by single injection or continuous infusion using a fixed catheter [11] [12]. This new trend is explained by the fact that the caudal block (formerly more used) has a high morbidity: accidental intraspinal and intravascular injections of local anesthetic.…”

Section: Discussion Limitation Of the Studymentioning

confidence: 99%

“…Once little practiced, peripheral blocks represent nowadays the regional techniques most used in many surgical indications in children [11]. They are performed by single injection or continuous infusion using a fixed catheter [11] [12].…”

Section: Discussion Limitation Of the Studymentioning

confidence: 99%

“…It is safe and effective to receive a sufficient period of analgesia, regardless of the type of surgery [6] [7] [8] [9] [10]. This technique was the most used but nowadays it is increasingly neglected in favor of Ultrasound guided peripheral blocks [11]. However, despite our limited technical equipment, the caudal anesthesia is always practiced [1] [2].…”

Section: Introductionmentioning

confidence: 99%

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Caudal Anesthesia: Experience in the Post-Operative Analgesia in Pediatric Ambulatory Surgery at the University Hospital of Treichville

Ango¹,

Kohou²,

Koné³

et al. 2017

OJAnes

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Introduction: The caudal anesthesia is used by many authors for postoperative analgesia. The purpose of this study was to report our experience in the practice of caudal block as post operative analgesia method in ambulatory surgery in a context of limited technical equipment. Patients and Method: Over a period of 5 months, a prospective study was conducted on 39 children aged 3 to 5 years weighing on average 15.12 kg. Children classified ASA I and II were selected. After premedication with midazolam (0.3 mg/kg) by intra rectal route, the inhalation induction was made with sevoflurane 8%, conveyed by fresh gas (50% O 2 and 50% air). The caudal block was obtained with the levobupivacaine 0.25% at a dose of 1 ml/kg. The hemodynamic parameters (systolic and diastolic blood pressure, heart rates) and respiratory parameters (respiratory frequency) pre-, per-and post-operative were measured. Postoperative pain was assessed with the Objective Pain Scale (OPS). The date of first use of analgesia was noted. The adverse effects of caudal block (meningitis, respiratory disorders, acute urinary retention, cardiac disorders) have been assessed. Results: The average duration of the procedure was 55.2 minutes. The use of analgesia was made 4 hours after skin closure, when the OPS Broadmann score was greater than 3. An agitation was observed in 6 children. Haemodynamic parameters have not significantly varied from the pre-to the post-operative. No infectious complications or intolerance to local anesthetics were observed. Allthe children were able to drink 4 hours after the end of the Conclusion: This type of anesthesia has been found very suitable for ambulatory surgery of the child, and is always helpful. It assured a post operative analgesia of good quality, and a reduction in consumption of morphine intraoperatively.

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Section: Discussion Limitation Of the Studymentioning

confidence: 99%

Section: Discussion Limitation Of the Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Caudal Anesthesia: Experience in the Post-Operative Analgesia in Pediatric Ambulatory Surgery at the University Hospital of Treichville

Ango¹,

Kohou²,

Koné³

et al. 2017

OJAnes

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“…В настоящий момент для блокад перифериче-ских нервов у детей в большинстве случаев приме-няют мощные и длительно действующие местные анестетики амидной группы [27][28][29].…”

Section: вве дениеunclassified

“…Регионарную анестезию широко применяют в педиатрической практике в силу ее безопасности и эффективности [14,28,31,33].…”

Section: ос ложнения рег ионарной анес тезииunclassified

The regional anesthesia for surgical correction of the malformation of upper extremities in pediatric

Manokhina

Александровна²

2017

Pediatr (SPb)

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The article presents an analysis of the publications devoted to the problems of anesthesia to surgical procedures at the malformations of the upper extremity in children. The article reviews the questions of epidemiology, classification of upper extremity malformation, safety of anesthesia and the role of regional blockades in the structure of intraoperative and postoperative analgesia to surgical procedures at the malformations of the upper extremity in children. Children are more likely than adults to experience stress in the operating room and early postoperative period. Children are almost impossible to prepare psychologically for the upcoming anesthesia, surgical intervention, a sense of pain after it. Surgical correction of malformations of the upper limbs in children is characterized by multistage and high traumatism, which requires the search for adequate methods of anesthesia, capable of ensuring not only the absence of pain, but also the negative impact on the nervous system of little patients. The key to the application of regional anesthesia in young children is the need for sedation or general anesthesia. The use of ultrasound navigation and electrostimulation of peripheral nerves significantly increases the level of safety and success of their realization. At present, the questions about the duration of postoperative analgesia with the use of peripheral nerve blocks and the need for additional anesthesia in the early postoperative period have been little studied. The influence of the applied anesthesia technique on the state of young children in the postoperative period are requires further investigation.

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Nalbuphine for postoperative pain treatment in children

Schnabel¹,

Reichl²,

Pogatzki-Zahn³

et al. 2012

Cochrane Database of Systematic Reviews

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Epidemiology and morbidity of regional anesthesia in children: a follow-up one-year prospective survey of the French-Language Society of Paediatric Anaesthesiologists (ADARPEF)

Cited by 340 publications

References 18 publications

Caudal Anesthesia: Experience in the Post-Operative Analgesia in Pediatric Ambulatory Surgery at the University Hospital of Treichville

Caudal Anesthesia: Experience in the Post-Operative Analgesia in Pediatric Ambulatory Surgery at the University Hospital of Treichville

The regional anesthesia for surgical correction of the malformation of upper extremities in pediatric

Nalbuphine for postoperative pain treatment in children

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