Regional anesthesia in pediatrics - Non-systematic literature review☆

Ríos-Medina, Ángela María; Caicedo-Salazar, Juliana; Vásquez-Sadder, María Isabel; Aguirre-Ospina, Oscar David; González, María Patricia

doi:10.1097/01819236-201543030-00006

Cited by 1 publication

(1 citation statement)

References 46 publications

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“…Additionally, although generally safe and effective, specific adverse effects may occur related to regional anesthesia related to needle and catheter placement as bleeding/hematoma, epidural abscess, inadvertent dural puncture, and injury to the spinal cord. In addition, local anesthetic toxicity (LAST) and block failure can occur [30][31][32]. Given these concerns, an appropriate pre-block evaluation is indicated to rule out relative and absolute contraindications as well as ongoing monitoring of the patient's status during the use of regional anesthesia.…”

Section: Agavelyan Etmentioning

confidence: 99%

Anesthetic Care During Exploratory Laparotomy and Excision of a Fetus-in-Fetu With a Combined General-Regional Anesthetic Technique Using a Caudal Epidural Catheter

Elhamrawy,

Syed,

Tobias

2023

J Med Cases

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Fetus-in-fetu (FIF) is a rare, congenital anomaly involving the presence of one of a pair of twins within the body of the other. It is postulated that this pathology occurs during embryogenesis of a diamniotic-monochorionic twin pregnancy with unequal division of the blastocele, which results in monozygotic, monochorionic, and diamniotic twins of unequal sizes. Presentation as an abdominal mass during the neonatal period or infancy is most common, although late diagnosis during the adult years may also occur. We report a 1-day-old, full-term female neonate who presented for exploratory laparotomy and excision of a FIF. We present the use of a combined generalregional technique using caudal epidural anesthesia. The etiology, presentation, appropriate workup, and treatment of FIF are presented. Previous anecdotal reports of anesthetic care for excision of FIF are reviewed.

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Section: Agavelyan Etmentioning

confidence: 99%