Beyaz Serbülent Gökhan, Tokgöz Orhan, Tüfek Adnan
Boztepe State Hospital of Ordu, Department of Anaesthesia and Reanimation, Pain, Ordu, Turkey.
J Pak Med Assoc. 2011 Aug;61(8):782-6.
To evaluate paediatric regional anaesthesia applications in 2200 children at Diyarbakir Children's Hosptial, Turkey.
This is a cross-sectional study done from January 2005 and October 2009. Paediatric regional anaesthesia applications in 2200 children were retrospectively analysed and included in this study. Demographic data, operation type, choice of regional anaesthesia, local anaesthetics, adjuvant drugs, side effects and complications were recorded.
Mean age was 6 +/- 4 years and mean weight 21.1 +/- 10.7 kg. There were 317 (14.4%) girls, and 1883 (85.6%) boys. Of the 2200 cases studied, 2088 (94%) received caudal epidural block, 59 (3%) received spinal block, 34 (%2) had lumbar epidural block and 19 (1%) received dorsal penile nerve block
In paediatric anaesthetic practice, caudal epidural block is used widely. However, paediatric regional anaesthesia should be supported and developed further by obtaining essential materials and devices. Variety of both neuraxial blocks and peripheral nerve blocks under sedation/general anaesthesia should also be increased.
评估土耳其迪亚巴克尔儿童医院2200例儿童的小儿区域麻醉应用情况。
这是一项于2005年1月至2009年10月开展的横断面研究。对2200例儿童的小儿区域麻醉应用情况进行回顾性分析并纳入本研究。记录人口统计学数据、手术类型、区域麻醉选择、局部麻醉药、辅助药物、副作用和并发症。
平均年龄为6±4岁，平均体重为21.1±10.7千克。有317名（14.4%）女孩和1883名（85.6%）男孩。在2200例研究病例中，2088例（94%）接受了骶管硬膜外阻滞，59例（3%）接受了脊髓阻滞，34例（2%）接受了腰段硬膜外阻滞，19例（1%）接受了阴茎背神经阻滞。
在小儿麻醉实践中，骶管硬膜外阻滞应用广泛。然而，小儿区域麻醉应通过获取必要的材料和设备得到进一步支持和发展。在镇静/全身麻醉下，神经轴阻滞和周围神经阻滞的种类也应增加。
