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Ultrasound-guided trunk and core blocks in infants and children
Authors:Tarun Bhalla  Amod Sawardekar  Elisabeth Dewhirst  Narasimhan Jagannathan  Joseph D Tobias
Institution:1. Departments of Anesthesiology and Pediatrics, Nationwide Children’s Hospital and The Ohio State University Medical Center, Columbus, OH, USA
3. Department of Anesthesiology and Pain Medicine, Children’s Memorial Hospital, 700 Children’s Drive, Chicago, IL, 43205, USA
2. Department of Pediatric Anesthesiology, Children’s Memorial Hospital, Chicago, IL, USA
Abstract:Regional anesthetic techniques for perioperative analgesia in children are being increasingly utilized with the reported advantages of providing superior analgesia, decreasing opioid consumption, and reducing opioid-related adverse effects. The following article reviews the available literature regarding core and trunk blocks in infants and children; specifically, transversus abdominis plane, ilioinguinal/iliohypogastric nerve, rectus sheath, lumbar plexus, and paravertebral and intercostal nerve blockade. The common indications and potential complications and adverse effects for each block are presented. Additionally, the anatomy and techniques needed for their performance are reviewed. Finally, a summary of the relevant literature in relation to each peripheral nerve block technique is included.
Keywords:
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