AI Article Synopsis
- - The study investigates pediatric regional anesthesia techniques, considering the need for opioid-sparing strategies and concerns about general anesthesia effects on child brain development.
- - Researchers analyzed 2409 studies, identifying 16 anatomical studies focused on specific nerve blocks used in children, such as the femoral nerve block and erector spinae plane block.
- - While regional anesthesia is frequently applied in pediatric settings, the limited anatomical research raises concerns about the efficacy and safety of these techniques; more studies are needed to enhance their application.
Article Abstract
Background: Pediatric regional anesthesia has been driven by the gradual rise in the adoption of opioid-sparing strategies and the growing concern over the possible adverse effects of general anesthetics on neurodevelopment. Nonetheless, performing regional anesthesia studies in a pediatric population is challenging and accounts for the scarce evidence. This study aimed to review the scientific foundation of studies in cadavers to assess regional anesthesia techniques in children.
Methods: We searched the following databases MEDLINE, EMBASE, and Web of Science. We included anatomical cadaver studies assessing peripheral nerve blocks in children. The core data collected from studies were included in tables and comprised block type, block evaluation, results, and conclusion.
Results: The search identified 2409 studies, of which, 16 were anatomical studies on the pediatric population. The techniques evaluated were the erector spinae plane block, ilioinguinal/iliohypogastric nerve block, sciatic nerve block, maxillary nerve block, paravertebral block, femoral nerve block, radial nerve block, greater occipital nerve block, infraclavicular brachial plexus block, and infraorbital nerve block.
Conclusion: Regional anesthesia techniques are commonly performed in children, but the lack of anatomical studies may result in reservations regarding the dispersion and absorption of local anesthetics. Further anatomical research on pediatric regional anesthesia may guide the practice.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11201957 | PMC |
| http://dx.doi.org/10.3390/children11060733 | DOI Listing |
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