Why the study?
Does regional anaesthesia provide satisfactory analgesia and safety in paediatric surgery?
Does regional anaesthesia provide satisfactory analgesia and safety in paediatric surgery?
Regional anaesthesia can be safely and effectively used in paediatric surgery, achieving excellent or satisfactory analgesia in the vast majority of cases without complications.
Supports paediatric regional anaesthesia feasibility; hypothesis-generating and requires prospective trials before practice change.
The use of regional anaesthesia in paediatric surgery remains controversial although the pharmacological and technical aspects, even in this age group, have been described. Many authors regard regional anaesthesia as contra-indicated, and consequently general anaesthesia is preferred in paediatric surgery. In the present study regional anaesthesia was used in the form of supraclavicular, interscalene brachial plexus blockade, axillary brachial plexus blockade, lumbar epidural and spinal blockade in altogether 199 patients in the paediatric age group. Surgically excellent or satisfactory analgesia was achieved in 92-100% of the blocks. No complications were observed.
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Serlo et al. (1985) studied this question.
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