Ultrasound-guided regional anesthesia for orthopedic surgery in pediatric patients: Ortopedik cerrahi için pediatrik hastalarda ultrason klavuzluğunda rejyonal anestezi

Levent Şahin; Mehrican Şahin; Ömer Aktaş; Rauf Gül

doi:10.5455/GMJ-30-2011-33

Authors

Levent Şahin Gaziantep Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Gaziantep
Mehrican Şahin Kadın Hastalıkları ve Doğum Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Gaziantep
Ömer Aktaş Kahramanmaraş Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Kahramanmaraş
Rauf Gül Gaziantep Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Gaziantep

DOI:

https://doi.org/10.5455/GMJ-30-2011-33

Keywords:

Orthopedic surgery, pediatric, regional anesthesia, ultrasound

Abstract

Introduction of the use of ultrasound (US) has led to very important developments in pediatric regional anesthesia and made applications, which are hard or even impossible to perform, applicable by the guidance of US. In this study, we aimed to discuss USguided peripheral nerve and plexus blocks that we made for intraoperative anesthesia, analgesia or postoperative analgesia in 81 pediatric patients ranging from ages 1 to 16 who were operated in the last year. For this study, anesthesia forms, evaluation forms of regional anesthesia, observation forms for nurses, and hospital epicrises of patients were used. Demographic data (age, sex, weigh, height), ASA scores, anesthetic properties, postoperative duration of analgesia and motor block and complications of patients were recorded. Estimated mean duration of analgesia for upper and lower extremities were 5.8 ± 1.6 h, and 8.7 ± 2.5 h, respectively, the duration of motor block for upper and lower extremities were 3.6 ± 0.7 h, 5.3 ± 1.8 h, respectively. Failed or insufficient block count was three. In orthopedic surgery applied pediatric patients US-guided regional blocks can be applied effectively and safely and it has high achievement and minimal complication rates.

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