Abstract
Regional anaesthesia has become an essential component of modern paediatric anaesthesia. The two principal applications of regional anaesthesia are its intraoperative use to supplement light general anaesthesia and postoperative use for pain management. Key factors in encouraging the use of regional anaesthesia techniques have probably been the favourable outcomes observed in children undergoing combined general and epidural anaesthesia for major surgery, the routine practice of caudal and peripheral blocks to provide painless emergence and the efficacy of pain relief they provide in chronic and oncology patients.
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References
Foster RH, Markham A (2000) Levobupivacaine: a review of its pharmacology and use as a local anaesthetic. Drugs 59:551–559
Chalkiadis GA, Eyres RL, Cranswick N et al (2004) Pharmacokinetics of levobupivacaine 0.25% following caudal administration in children under 2 years of age. Br J Anaesth 92:218–222
Chalkiadis GA, Anderson BJ, Tay M et al (2005) Pharmacokinetics of levobupivacaine after caudal epidural administration in infants less than 3 months of age. Br J Anaesth 95:524–529
Lyons G, Columb M, Wilson RC, Johnson RV (1998) Epidural pain relief in labour: potencies of levobupivacaine and racemic bupivacaine. Br J Anaesth 81:899–901
Taylor R, Eyres R, Chalkiadis GA, Austin S (2003) Efficacy and safety of caudal injection of levobupivacaine, 0.25%, in children under 2 years of age undergoing inguinal hernia repair, circumcision or orchidopexy. Paediatr Anaesth 13:114–121
Ivani G, De Negri P, Conio A (2002) A comparison of racemic bupivacaine, ropivacaine and levo-bupivacaine for pediatric caudal anesthesia: effects on postoperative analgesia and motor block. Reg Anesth Pain Med 27:157–161
Astuto M, Disma N, Arena C (2003) Levobupivacaine 0.25% compared with ropivacaine 0.25% by the caudal route in children. Eur J Anaesthesiol 20:826–830
Locatelli B, Ingelmo P, Sonzogni V et al (2005) Randomised, double-blind, phase III, controlled trial comparing levobupivacaine 0.25%, ropivacaine 0.25% and bupivacaine 0.25% by the caudal route in children. Br J Anaesth 94:366–371
Ivani G, De Negri P, Lonnqvist PA et al (2003) A comparison of three different concentrations of levobupivacaine for caudal block in children. Anesth Analg 97:368–371
Yildiz TS, Kormokman F, Solak M, Toker K (2006) Clonidine addition prolongs the duration of caudal analgesia. Acta Anaesthesiol Scand 50:501–504
Dagher C, Yazigi A, Rkaibe N (2006) Clonidine as adjuvant for bupivacaine in ilioinguinal block does not prolong postoperative analgesia in paediatric and also in adult patients. Paediatr Anaesth 16:224–225
Pekoe GM, Smith DJ (1982) The involvement of opiate and monoaminergic neuronal systems in the analgesic effects of ketamine. Pain 12:57–73
Brockmeyer DM, Kendig JJ (1995) Selective effects of ketamine on amino acid mediated pathways in neonatal rat spinal cord. Br J Anaesth 74:79–84
White PF, Schuttler J, Shafer A et al (1985) Comparative pharmacology of the ketamine isomers. Studies in volunteers. Br J Anaesth 57:197–203
Marhofer P, Krenn CG, Plochl W et al (2000) S(+)-Ketamine for caudal block in paediatric anaesthesia. Br J Anaesth 84:341–345
Hager H, Marhofer P, Sitzwohl C et al (2002) Caudal clonidine prolongs analgesia from caudal S(+)-ketamine in children. Anesth Analg 94:1169–1172
De Negri P, Ivani G, Visconti C, de Vivo P (2001) How to prolong postoperative analgesia after caudal anaesthesia with ropivacaine in children: S-Ketamine versus clonidine. Paediatr Anaesth 11:679–683
Semple D, Findlow D, Aldridge LM et al (1996) The optimal dose of ketamine for caudal epidural blockade in children. Anaesthesia 51:1170–1172
Kumar P, Rudra A, Pan AK, Acharya A (2005) Caudal additives in paediatrics: a comparison among midazolam, ketamine, and neostigmine coadministered with bupivacaine. Anesth Analg 101:69–73
Turan A, Memis D, Basaran UN et al (2003) Caudal ropivacaine and neostigmine in pediatric surgery. Anesthesiology 98:719–722
Roberts SA, Guruswamy V, Gàlvez I (2005) Caudal injectate can be reliably imaged using portable ultrasound—a preliminary study. Pediatr Anesth 15:948–952
Willschke H, Marhofer P, Bosemberg A et al (2005) Ultrasonography for ilioinguinal/iliohypogastric nerve blocks in children. Br J Anaesth 95:226–230
Marhofer P, Greher M, Kapral S (2005) Ultrasound guidance in regional anaesthesia. Br J Anaesth 94:7–17
Breschan C, Jost R, Krumpholz R et al (2005) A prospective study comparing the analgesic efficacy of levobupivacaine, ropivacaine and bupivacaine in pediatric patients undergoing caudal blockade. Paediatr Anaesth 15:301–306
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Disma, N., Rosano, G., Lauretta, D. (2007). Locoregional anaesthesia in children. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-0571-6_36
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DOI: https://doi.org/10.1007/978-88-470-0571-6_36
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0570-9
Online ISBN: 978-88-470-0571-6
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