Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA -
Minerva Anestesiol. 2021 Jun;87(6):695-703. doi: 10.23736/S0375-9393.20.14636-4. Epub 2020 Sep 22.
Regional anesthesia has grown in popularity as a multimodal approach to analgesia. However, some anesthesiologists are fearful of regional blocks in pediatric patients as most require general anesthesia. One of the most alarming complications is neurologic injury. While there are limited case reports regarding the devastating neurologic injuries in pediatric patients, review of large databases has shown a level of safety in pediatric regional anesthesia that is comparable to that in adult patients. This review aimed to provide an update on the relevant literature regarding neurologic complications and the safety of regional blocks in pediatric patients. These large data sets have confirmed that regional anesthesia is a useful and safe modality in pediatric patients.
区域麻醉作为一种多模式镇痛方法越来越受欢迎。然而，由于大多数患儿需要全身麻醉，一些麻醉师对小儿患者的区域阻滞感到恐惧。最令人担忧的并发症之一是神经损伤。虽然关于小儿患者灾难性神经损伤的病例报告有限，但对大型数据库的回顾显示，儿科区域麻醉的安全性与成人患者相当。本综述旨在提供有关神经并发症和小儿患者区域阻滞安全性的相关文献的最新信息。这些大型数据集证实，区域麻醉在小儿患者中是一种有用且安全的方式。
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