Regional anaesthesia in children

Assoc. Prof. Martina Kosinová, MD, PhD, Tereza Musilová, MD, Anna Hrazdírová, Tereza Štenclová

Peripheral nerve block, as part of a multimodal approach to the treatment of pain, is already a standard part of anaesthesiology care not only in adults but also in pediatric patients. The basic condition for the implementation of peripheral blocks is a perfect knowledge of the topographic anatomy of the area, which together with the use of ultrasound methods allows to minimize possible risks. The aim of the algorithm is to approach the specifics of performing peripheral blockades in children. It shows the advantages that allow a small patient to access the stay in the operating room and in the postoperative period, with emphasis on the adequate effect of postoperative pain.

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Daniel Nalos, MD Chief Physician, Department of Anesthesiology, Perioperative and Intensive medicine, Krajská zdravotní a.s. - Masaryk hospital in Ústí nad Labem o.z., Ústí nad Labem, Czech Republic

The algorithm describes a situation of indication for regional anaesthesia. It is a good example of logical approach and practical procedure for providing postoperative analgesia for arthroscopic surgery in children. This algorithm shows the analgesic needs for most patients. As a part of multimodal approach, non-opioid analgesics should be given at the same time.
 

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inserted: 5. 6. 2021 | last modified on: 28. 9. 2021

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