کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2772208 1152011 2012 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Is ultrasound essential for regional anesthesia in children?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Is ultrasound essential for regional anesthesia in children?
چکیده انگلیسی

According to systematic reviews performed on adults, ultrasound provides moderate advantages in latency time reduction and block quality. Whether it really reduces the number of complications at the expense of less vascular puncturing, less diaphragm paralysis, and less pleural puncturing, together with lower doses of local anesthetic used, is a controversial question. Neither is there evidence that ultrasound achieves a higher rate of success than traditional techniques. Pediatric patients have special characteristics that differentiate them from adult patients, so the existing studies and their results should not be extrapolated. Ultrasound has a series of advantages: real-time visualization of our target or infiltration of anatomical plane; a view of the needle performing the puncture; and continuous monitoring of spreading of the local anesthetic. Few techniques satisfy so many requirements for adoption by the medical practice, but trials proving that this is an essential technique for pediatric regional anesthesia are scarce. However, ultrasound has shown to be at least as efficient and as safe as traditional techniques and should therefore be routinely used in pediatric regional anesthesia.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Techniques in Regional Anesthesia and Pain Management - Volume 16, Issue 3, July 2012, Pages 158–163
نویسندگان
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