NDLI: Blocks for pain management in children undergoing ambulatory surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lönnqvist, Per-Arne
Spatial Coverage	United States
Description	Country affiliation: Sweden Author Affiliation: Lönnqvist PA ( Section of Anaesthesiology & Intensive Care, Department of Physiology & Pharmacology, The Karolinska Institute, Stockholm, Sweden. per-arne.lonnqvist@ki.se)
Abstract	PURPOSE OF REVIEW: Data from the USA show that the number of paediatric outpatient procedures has increased by almost 50% during the time period 1996-2006. Despite this increasing trend with regards to ambulatory surgery in children postoperative analgesia is still often suboptimal. The aim of this review is to give an overview of different regional anaesthesia techniques that successfully can be used in paediatric ambulatory surgery. RECENT FINDINGS: Regional anaesthesia, especially the increasing use of ultrasound-guided peripheral nerve blocking techniques, provide maybe the best way of achieving high-quality early postoperative pain relief and the use of continuous peripheral catheters appear very promising in order to extend analgesia after the return home. If used appropriately the use of regional anaesthesia may in some instances even make it possible to bypass the recovery room. SUMMARY: Current evidence strongly supports the use of various regional anaesthetic techniques in paediatric outpatient surgery. However, further studies are needed to identify the incidence and severity of pain following different common ambulatory surgical procedures in children as well as comparative prospective randomized trials comparing different regional techniques as well as comparing regional anaesthesia to the best current combination of oral analgesics.
File Format	HTM / HTML
ISSN	09527907
Issue Number	6
Volume Number	24
e-ISSN	14736500
Journal	Current Opinion in Anaesthesiology
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2011-12-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Ambulatory Surgical Procedures Nerve Block Methods Pain Management Pain, Postoperative Drug Therapy Anesthesia, Caudal Anesthesia, Spinal Child Humans Peripheral Nerves Drug Effects Ultrasonography, Interventional United States Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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