Which way to choose next?

Abstract

An increased interest in regional anesthesia in the pediatric practice was noted; however, the frequency of using regional blockages in children is much lower than in adults. This is facilitated by the insufficient awareness of anesthesiologists about the peculiarities of children’s physiology, fear of the child, fear of side effect development, and simply, unwillingness to use regional methods. This situation can be corrected at the stages of training young specialists.

Promoting regional anesthesia is required in the pediatric practice for residency training by improving theoretical knowledge and manual skills. This requires interest, knowledge, practical skills, and equipment.

Keywords

regional anesthesia / рediatrics

References

[1] Merella F, Canchi-Murali N, Mossetti V. General principles of regional anaesthesia in children. BJA Educ. 2019;19(10):342–348. doi: 10.1016/j.bjae.2019.06.003

[2] Merella F., Canchi-Murali N., Mossetti V. General principles of regional anaesthesia in children // BJA Educ. 2019. Vol. 19, N 10. P. 342–348. doi: 10.1016/j.bjae.2019.06.003

[3] Jones LJ, Craven PD, Lakkundi A, et al. Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. Cochrane Database Syst Rev. 2015(6):CD003669. doi: 10.1002/14651858.CD003669.pub2

[4] Jones L.J., Craven P.D., Lakkundi A., et al. Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy // Cochrane Database Syst Rev. 2015. Vol., N 6. P. CD003669. doi: 10.1002/14651858.CD003669.pub2

[5] Ovechkin AM, Bayalieva AZ, Ezhevskaya AA, et al. Postoperative analgesia. Annals of Critical Care. 2019(4):9–33. (In Russ). doi: 10.21320/1818-474x-2019-4-9-33

[6] Овечкин А.М., Баялиева А.Ж., Ежевская А.А., и др. Послеоперационное обезболивание. клинические рекомендации // Вестник интенсивной терапии имени А.И. Салтанова. 2019. № 4. С. 9–33. doi: 10.21320/1818-474X-2019-4-9-33

[7] Wong J, Lim SST. Epidural analgesia in a paediatric teaching hospital: Trends, developments, and a brief review of literature. Proceedings of Singapore Healthcare. 2017;27(1):49–54. doi: 10.1177/2010105817733997

[8] Wong J., Lim S.S.T. Epidural analgesia in a paediatric teaching hospital: Trends, developments, and a brief review of literature // Proceedings of Singapore Healthcare. 2017. Vol. 27, N 1. P. 49–54. doi: 10.1177/2010105817733997

[9] Zabolotskiy DV, Ulrikh GE, Malashenko NS, Kulev AG. Ultrasound in the hands of an anesthesiologist-exclusive or routine? Regional anesthesia and acute pain management. 2012;6(1):5–10. (In Russ).

[10] Заболотский Д.В., Ульрих Г.Э., Малашенко Н.С., Кулев А.Г. Ультразвук в руках анестезиолога – эксклюзив или рутина? Регионарная анестезия и лечение острой боли. 2012. Т. 6, № 1. С. 5–10.

[11] Guay J, Suresh S, Kopp S. The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children. Cochrane Database Syst Rev. 2019 Feb 27;2(2):CD011436. doi: 10.1002/14651858.CD011436.pub3. PMID: 30820938; PMCID: PMC6395955.

[12] Guay J., Suresh S., Kopp S. The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children // Cochrane Database Syst Rev. 2019. Vol. 2, N. P. CD011436. doi: 10.1002/14651858.CD011436.pub3

[13] Koriachkin VA, Chupris VG, Cherny AZh, et al. Systemic toxisity of local anesthethics during regional anesthesia in orthopedics and traumatology. Traumatology and orthopedics of Russia. 2015;(1):129–135. (In Russ).

[14] Корячкин В.А., Чуприс В.Г., Черный А.Ж., и др. Системная токсичность местных анестетиков при регионарной анестезии в ортопедии и травматологии // Травматология и ортопедия России. 2015. № 1. С. 129–135.

RIGHTS & PERMISSIONS

Eco-Vector