Linked Life Data

8122727

Source:http://linkedlifedata.com/resource/pubmed/id/8122727

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1994-4-7
pubmed:abstractText
Regional anaesthetic procedures are not popular in paediatric anaesthesia in many institutions. However, regional anaesthesia is gaining ground, especially in a "new" concept of balanced paediatric anaesthesia. The decisive argument for the use of regional anaesthesia is the prolongation of pain relief further into the postoperative phase. The minimal haemodynamic and respiratory side effects during epidural and spinal anaesthesia, the reduced narcotic requirement and the potential early mobilisation all speak in favour of practical application of these techniques. Specially adapted needles and catheters have reduced the technical limitations. The use of nerve stimulators has optimize the accuracy of needle and catheter positioning. The use of a nerve stimulator is therefore highly recommended for peripheral nerve blocks in children. On the other hand, the use of regional anaesthesia in children has potential disadvantages, which should be considered. Special knowledge and continuous training are required. Many techniques are time consuming and personnel intensive, at least temporarily, and the combination of general and regional anesthesia exposes the child to the potential risk inherent in both procedures. The aim of this paper is to discuss procedures which have gained favour in paediatric regional anaesthesia during the past few years. These include caudal, epidural and spinal anaesthesia, especially for infants with high narcotic risk, as well as fascia iliaca compartment blocks for lower extremity analgesia and penile blocks. Many peripheral nerve blocks require special experience and therefore are not discussed here, but they are used routinely by specialists in all age groups. Good anatomic and pharmacologic knowledge should be a prerequisite for all physicians who use regional anaesthetic procedures. Continuous training and critical analysis are needed for good results. Only then can such methods be introduced into routine paediatric anaesthetic practice.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0003-2417
pubmed:author
pubmed:issnType
Print
pubmed:volume
43
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
55-72
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
[Regional anesthetic procedures in pediatric anesthesia].
pubmed:affiliation
Klinik für Anästhesie und Allgemeine Intensivmedizin der Universität Wien.
pubmed:publicationType
Journal Article, English Abstract, Review