TY  - CHAP
M1  - Book, Section
TI  - Peripheral Nerve Blocks for Children
A1  - Roberts, Steve
A2  - Hadzic, Admir
PY  - 2017
T2  - Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, 2e
AB  - Peripheral  nerve  blocks  have  been  gaining  significant  popularity  in  the  daily  practice  among  pediatric  anesthesiologists.  Nerve  blocks  in  children  have  an  excellent  risk–benefit  ratio  and  are  readily  acceptable  by  both  parents  and  children.  Although  the  performance  of  peripheral  nerve  blocks  in  anesthetized  adults  is  often  debated,  such  practice  is  well  accepted  in  pediatric  patients.  Successive  large  prospective  studies  performed  by  the  French-Language  Society  of  Pediatric  Anesthesiologists  (ADARPEF)  have  demonstrated  no  increased  incidence  of  complications  when  regional  anesthesia  techniques  were  performed  under  general  anesthesia.1,2  The  overall  incidence  of  regional  anesthesia–related  complications  was  less  than  0.9  of  1000  anesthetic  procedures  performed.  Interestingly,  a  six-fold  increase  in  the  complication  rate  for  central  versus  peripheral  techniques  was  demonstrated,  which  should  further  persuade  pediatric  anesthesiologists  to  modify  their  practice  toward  more  peripherally  based  regional  anesthetic  strategies.  The  complication  rate  was  four  times  higher  in  children  under  6  months  of  age;  as  such,  these  patients  should  be  managed  only  by  suitably  trained  specialist  pediatric  anesthesiologists.  Because  of  the  concomitant  use  of  general  anesthesia  in  children,  the  intraoperative  efficacy  of  nerve  blocks  is  often  assessed  indirectly  using  hemodynamic  parameters  and  required  depth  of  anesthesia.  Most  regional  techniques  used  in  children  are  primarily  used  for  the  purpose  of  providing  postoperative  pain  control  rather  than  surgical  anesthesia.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2023/03/29
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1141736007
ER  -