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Epidemiology and morbidity of regional anaesthesia in children

Lacroix, Frédéric

Current Opinion in Anaesthesiology: June 2008 - Volume 21 - Issue 3 - p 345–349
doi: 10.1097/ACO.0b013e3282ffabc5
Pediatric anesthesia: Edited by Bernard J. Dalens

Purpose of review: To evaluate which techniques of regional anaesthesia are made in 2008 and to appreciate and check their safety.

Recent findings: The role of the central and peripheral accesses is discussed such as their complications taking into consideration the previously published studies.

Summary: Regional anaesthesia is very much used in the child and develops very quickly. The peripheral accesses represent the majority of the regional techniques used. Continuous injection, after central or peripheral accesses, also progresses. There are complications in podiatry after regional anaesthesias. In most cases, they are not serious permanent problems, but they are probably underestimated. Modern approaches of treatment for the nervous structures (neurostimulators and echographs) are available and are used more often in order to increase the effectiveness. Careful use of the neurostimulator and ultrasonography may probably improve the safety in paediatric regional anaesthesia in the years to come.

Department of Paediatric Anaesthesiology and Intensive Care, La Timone Children Hospital, Marseille, France

Correspondence to Frédéric Lacroix, Department of Paediatric Anaesthesiology and Intensive Care, La Timone Children Hospital, 13385 Marseille Cedex 05, France Tel: +33 4 91 38 67 12; fax: +33 4 91 38 44 96; e-mail: frederic.lacroix@ap-hm.fr

© 2008 Lippincott Williams & Wilkins, Inc.