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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Suresh, S. Schaldenbrand, K. Wallis, B. De Oliveira, G. S. |
| Description | Country affiliation: United States Author Affiliation: Suresh S ( Department of Anesthesiology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.); Schaldenbrand K ( Department of Anesthesiology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.); Wallis B ( Department of Anesthesiology, Northwestern University, 241 East Huron St., F5-704, Chicago, IL, USA.); De Oliveira GS ( Department of Anesthesiology, Northwestern University, 241 East Huron St., F5-704, Chicago, IL, USA g-jr@northwestern.edu.) |
| Abstract | Summary The development of analgesic interventions in paediatric surgical patients is often limited by the inherent difficulties of conducting large randomized clinical trials to test interventions in those patients. Regional anaesthesia is a valid strategy to improve postoperative pain in the adult surgical population, but the effects of regional anaesthesia on postoperative pain outcomes in paediatric patients are currently not well defined. The main objective of the current review was to systematically evaluate the use of regional anaesthesia techniques to minimize postoperative pain in paediatric patients. A systematic search was performed to identify randomized controlled trials that evaluated the effects of the regional anaesthesia techniques on postoperative pain outcomes in paediatric surgical patients' procedures. Seventy-three studies on 5125 paediatric patients were evaluated. Only few surgical procedures had more than one small randomized controlled trial favouring the use of regional anaesthesia to minimize postoperative pain (ophthalmological surgery, cleft lip repair, inguinal hernia, and urological procedures). Additional evidence is required to support the use of specific regional anaesthesia techniques to improve postoperative pain for several surgical procedures (craniectomy, adenotonsillectomy, appendectomy, cardiac surgery, umbilical hernia repair, upper and lower extremity) in paediatric patients. Currently, only a very limited number of regional anaesthesia techniques have demonstrated significant improvement on postoperative pain outcomes for a restricted number of surgical procedures. More studies are needed in order to establish regional anaesthesia as a valid strategy to improve analgesia in the paediatric surgical population. |
| File Format | HTM / HTML |
| ISSN | 00070912 |
| e-ISSN | 14716771 |
| Journal | British Journal of Anaesthesia |
| Issue Number | 3 |
| Volume Number | 113 |
| Language | English |
| Publisher | Oxford University Press |
| Publisher Date | 2014-09-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Discipline Anesthesiology Anesthesia, Conduction Pain Management Pain, Postoperative Prevention & Control Pediatrics Randomized Controlled Trials As Topic Surgical Procedures, Operative Adverse Effects Evaluation Studies As Topic Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
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