New blocks on the kids: core basic nerve blocks in paediatric anaesthesia

Building Blocks—A Block-by-Block Approach to Better Emergency Care in Children

“…In a similar fashion, a supraclavicular brachial plexus block, which is not a plan A block as described by Pearson et al, 4 can be very useful in patients suffering from an upper extremity injury that prevents them from getting into the position required for an axillary brachial plexus block. 5 However, this does not diminish the usefulness of the axillary brachial plexus block.…”

“…In order to increase safety and proficiency in the rapidly developing field of ultrasound-guided RA, the model of "plan A" blocks was recently introduced 2 and was extended to the pediatric population. 4 It aims to reduce the variety of blocks pursued by novice nerve block practitioners while providing neck-to-toe coverage for theater-based procedures. This model outlines a convenient framework under which to gain proficiency in a curated array of necessary tools.…”

“…Recently, Pearson et al suggested the erector spinae plane and rectus sheath plane blocks as good solutions. 4 Femoral nerve block is extremely useful for femur fractures. 19 In the pediatric ED, it affords us great flexibility in that it can be performed on patient arrival, sometimes even on the ambulance gurney, to facilitate patient allocation and pain management for the first hours in the hospital.…”

“…Due to the added innate physiological and mental complexity in children, 3 a similar, further adapted framework was suggested. 4 To date, no such framework exists for the emergency setting.…”

How to write a narrative review

“…This has been the subject of a recent editorial [10] and is a field where much has changed over recent years with room for further changes and improvements.…”