[Regional anesthesia for urologic interventions in the pediatric age group].

Abstract

Regional anesthetic techniques are widely used in pediatric anesthesia since they represent excellent tools to prevent and treat postoperative pain. Their range of application has considerably expanded during the last decades, and virtually all aspects of surgical pain management can benefit from their appropriate use. Previously considered unreliable and potentially hazardous, regional anesthetic techniques have now been proven safe. Most children undergoing outpatient surgery can benefit from regional anesthetic techniques, either as the sole anesthetic regimen or, as usual in pediatric practice, in combination with light anesthesia. Central blocks as well as peripheral nerve blocks are well tolerated by infants and young children. They are easy to perform and show a high level of efficacy. Only the patient's history has to be available. No tests, such as invasive blood coagulation screening, are required. Subsequent to a regional anesthesia, non-opioid analgetics, e. g., paracetamol or ibuprofen, have to be used for further pain management.

• Authors: A Reich, O A Brinkmann
• Journal: Aktuelle Urologie (Aktuelle Urol) Vol. 35 Issue 5 Pg. 418-25 (Sep 2004) ISSN: 0001-7868 [Print] Germany
• Vernacular Title: Regionalanästhesien bei urologischen Eingriffen im Kindesalter.
• PMID: 15368132 (Publication Type: Comparative Study, English Abstract, Journal Article)

Chemical References

• Analgesics, Non-Narcotic
• Acetaminophen
• Ibuprofen

Topics

• Acetaminophen (therapeutic use)
• Age Factors
• Ambulatory Surgical Procedures
• Analgesics, Non-Narcotic (therapeutic use)
• Anesthesia, Conduction
• Child
• Child, Preschool
• Female
• Humans
• Ibuprofen (therapeutic use)
• Infant
• Infant, Newborn
• Male
• Nerve Block
• Pain, Postoperative (drug therapy, prevention & control)
• Safety
• Urologic Surgical Procedures