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#regional
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New blocks on the kids
Core basic nerve blocks in paediatric anaesthesia
Anaesthesia
Reviewed June 2023 by Dr Derek Rosen
This useful review article discusses the benefits of regional anaesthesia in children (anaesthesia sparing, opioid sparing, and a reduction in emergence delirium severity) despite its lower use...
Measures to prolong duration of sensory block after regional anaesthesia
Current Opinion in Anaesthesiology
Reviewed June 2023 by Dr Derek Rosen
This review article discusses the evidence for the different techniques used to prolong sensory neural blockade. Of the commonly used adjuvants dexamethasone (perineural 4mg, followed by intravenous...
Bilateral erector spinae plane blocks in children undergoing cardiac surgery
A randomized, controlled study
Journal of Clinical Anesthesia
Reviewed July 2023 by Dr Neil Hauser
This small, randomized control study of 40 patients investigated the utility of erector spinae plane blocks (ESPB) in paediatric sternotomy for cardiac procedures. The primary outcome was cumulative...
Unique Issues Related to Regional Anesthesia in Pediatric Orthopedics
Anesthesiology Clinics
Reviewed July 2023 by Dr Sinead Farrell
This review article addresses key questions about regional anaesthesia in paediatric practice. 1. Blocks under GA or deep sedation are safe in children and should be the default. • The benefit...
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Second infant spinal anesthetic
Incidence, dose modification, and adverse events after initial failure
Pediatric Anesthesia
Reviewed August 2024 by Dr H Hack
Study Aim & background To determine the overall spinal failure rate, incidence of second spinal attempt and success rate and any associated adverse events in infants. The Royal Children's Hospital,...
Awake caudal anesthesia in ex-premature infants undergoing lower abdominal surgery
A narrative review.
Pediatric Anesthesia
Reviewed August 2024 by Dr John Burnett
It is well known that ex-premature infants are a high risk patient group, particularly with regard to perioperative apnoea. A question that is front of mind for most paediatric anaesthetists is “how...
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Journal Watch is a community of SPANZA members who work to identify and review articles of interest in the paediatric anaesthesia literature.
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