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Ultrasound-guided trunk and core blocks in infants and children
Journal article   Peer reviewed

Ultrasound-guided trunk and core blocks in infants and children

Tarun Bhalla, Amod Sawardekar, Elisabeth Dewhirst, Narasimhan Jagannathan and Joseph D. Tobias
Journal of Anesthesia, Vol.27(1)
2013

Abstract

Abdominal Wall Anesthesia, Spinal Child Child, Preschool Humans Hypogastric Plexus Infant Infant, Newborn Intercostal Nerves Lumbosacral Plexus Nerve Block Rectus Abdominis Ultrasonography, Interventional adrenalin bupivacaine fentanyl ibuprofen levobupivacaine morphine opiate placebo procaine ropivacaine appendectomy breast surgery cesarean section cholecystectomy clinical trial colostomy continuous infusion epidural anesthesia hernioplasty herniorrhaphy human iliohypogastric nerve block ilioinguinal nerve block intercostal nerve block kidney surgery laparoscopic surgery liver resection loading drug dose lumbar plexus block nausea nerve block orchidopexy paravertebral block pediatric anesthesia postoperative analgesia postoperative pain rectus abdominis muscle block regional anesthesia Review sedation side effect thoracotomy transversus abdominis plane block treatment indication ultrasound vomiting
Regional anesthetic techniques for perioperative analgesia in children are being increasingly utilized with the reported advantages of providing superior analgesia, decreasing opioid consumption, and reducing opioid-related adverse effects. The following article reviews the available literature regarding core and trunk blocks in infants and children; specifically, transversus abdominis plane, ilioinguinal/iliohypogastric nerve, rectus sheath, lumbar plexus, and paravertebral and intercostal nerve blockade. The common indications and potential complications and adverse effects for each block are presented. Additionally, the anatomy and techniques needed for their performance are reviewed. Finally, a summary of the relevant literature in relation to each peripheral nerve block technique is included. © 2012 Japanese Society of Anesthesiologists.

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