Continuous peripheral nerve blocks in paediatrics

  • G. Ivani
  • A. Sarti
  • V. Mossetti
Conference paper


The control of long-term pain in children is a real problem for the paediatric anaesthesiologist. The ideal pain treatment would provide complete pain relief without interference with the daily life of the child, and the techniques and drugs would cause as few side effects as possible. For this reason, in recent years, there has been a renaissance in regional anaesthesia in children, in part because of a greater concern about postoperative pain management in young patients, and in part because of technical advances in equipment needed to perform the blocks. In fact, several techniques and routes can be used for pain treatment, but all have side effects. The intramuscular approach should be avoided in children not only from a psychological point of view (fear of needles, pain) but also because drug absorption is unpredictable. Intravenous opioid infusions are widely used, but their use for long-term pain control can lead to important side effects, such as nausea and vomiting, pruritus, urinary retention, gastrointestinal impairment and respiratory depression, so that doses must be titrated and managed; they must be limited to selected cases when no other options are available. An epidural infusion may be an alternative but can have such side effects as motor block, urinary retention and anaesthesia/analgesia also in the contralateral leg.


Brachial Plexus Nerve Block Club Foot Femoral Nerve Block Peripheral Nerve Block 
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Suggested further reading

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Copyright information

© Springer-Verlag Italia, Milano 2004

Authors and Affiliations

  • G. Ivani
  • A. Sarti
  • V. Mossetti

There are no affiliations available

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