Anatomical Studies Evaluating Pediatric Regional Anesthesia: A Scoping Review

被引:0
作者
Pereira, Lucas Ferreira Gomes [1 ]
Carlos, Ricardo Vieira [1 ,2 ]
van Schoor, Albert [3 ]
Bosenberg, Adrian [4 ]
Luna, Natalia Mariana Silva [1 ,5 ]
Silva, Rebeca da Costa [1 ,5 ]
Bertanha, Bianca de Fatima [1 ]
Carmona, Maria Jose Carvalho [1 ]
Quintao, Vinicius Caldeira [1 ,2 ]
机构
[1] Univ Sao Paulo, Hosp Clin, Fac Med, Discipline Anesthesiol, BR-05403010 Sao Paulo, Brazil
[2] Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med, Inst Crianca & Adolescente, BR-05403000 Sao Paulo, Brazil
[3] Univ Pretoria, Fac Hlth Sci, Sch Med, Dept Anat, ZA-0085 Pretoria, South Africa
[4] Univ Washington, Seattle Childrens Hosp, Dept Anesthesia & Pain Management, Seattle, WA 98195 USA
[5] Univ Nove Julho UNINOVE, Dept Med, BR-03155000 Sao Paulo, Brazil
来源
CHILDREN-BASEL | 2024年 / 11卷 / 06期
关键词
nerve block; regional; cadaver; regional anesthesia; pediatrics; pediatric anesthesia; NERVE BLOCK; SURGICAL-PATIENTS; CHILDREN; OUTCOMES;
D O I
10.3390/children11060733
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
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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页数:13
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