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Regional anesthesia in children: A budding speciality!

机译:儿童区域麻醉:一种新兴的专长!

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Regional anesthesia in children was reported over a century ago when the use of spinal anesthesia was introduced. However, with the advent of safer methods for general anesthesia, there has been a decrease in its use over the last three decades. With the advent of day-surgery and the need for fast-tracking children after major surgery, the need for nonopioid-based recovery of children has become imperative. The resurgence in regional anesthetic techniques in children is in part due to the advancements in technique and also the modalities for their use in children. The old adage of not providing regional anesthesia in anesthetized children as an "escapism" from the burden of providing adequate care has been overshadowed by outcome research on the benefits of regional techniques in children compared with the usual opioid administration.1 Regional anesthesia in children is here to stay. As the practice of anesthesia specializes in the regionalists versus the nonregionalists, we come to crossroads where there are some peripheral nerve blocks in children that can be performed on an everyday basis with just some forethought.
机译:在一个多世纪以前,当采用脊椎麻醉法时,就报道了儿童的区域麻醉。然而,随着更安全的全身麻醉方法的出现,在过去的三十年中,麻醉药的使用有所减少。随着日间手术的出现以及大手术后需要快速追踪儿童的需求,迫切需要基于非阿片类药物的儿童康复。儿童区域麻醉技术的复苏部分归因于技术的进步以及在儿童中使用麻醉剂的方式。与常规阿片类药物给药相比,关于区域技术对儿童的益处的结果研究已经掩盖了在麻醉儿童中不提供区域麻醉作为“逃避现实”的古老谚语,因为这种研究掩盖了儿童对区域技术的益处。在这里停留。由于麻醉实践专门针对区域主义者而不是非区域主义者,因此我们走到了一个十字路口,在儿童中,有些周围神经阻滞每天都可以进行,并且需要一些预见性。

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