PDF(Pubmed)
Abstract：
BACKGROUND: Pediatric regional anesthesia has been driven by the gradual rise in the adoption of opioid-sparing strategies and the growing concern over the possible adverse effects of general anesthetics on neurodevelopment. Nonetheless, performing regional anesthesia studies in a pediatric population is challenging and accounts for the scarce evidence. This study aimed to review the scientific foundation of studies in cadavers to assess regional anesthesia techniques in children.
METHODS: We searched the following databases MEDLINE, EMBASE, and Web of Science. We included anatomical cadaver studies assessing peripheral nerve blocks in children. The core data collected from studies were included in tables and comprised block type, block evaluation, results, and conclusion.
RESULTS: The search identified 2409 studies, of which, 16 were anatomical studies on the pediatric population. The techniques evaluated were the erector spinae plane block, ilioinguinal/iliohypogastric nerve block, sciatic nerve block, maxillary nerve block, paravertebral block, femoral nerve block, radial nerve block, greater occipital nerve block, infraclavicular brachial plexus block, and infraorbital nerve block.
CONCLUSIONS: Regional anesthesia techniques are commonly performed in children, but the lack of anatomical studies may result in reservations regarding the dispersion and absorption of local anesthetics. Further anatomical research on pediatric regional anesthesia may guide the practice.
METHODS: We searched the following databases MEDLINE, EMBASE, and Web of Science. We included anatomical cadaver studies assessing peripheral nerve blocks in children. The core data collected from studies were included in tables and comprised block type, block evaluation, results, and conclusion.
RESULTS: The search identified 2409 studies, of which, 16 were anatomical studies on the pediatric population. The techniques evaluated were the erector spinae plane block, ilioinguinal/iliohypogastric nerve block, sciatic nerve block, maxillary nerve block, paravertebral block, femoral nerve block, radial nerve block, greater occipital nerve block, infraclavicular brachial plexus block, and infraorbital nerve block.
CONCLUSIONS: Regional anesthesia techniques are commonly performed in children, but the lack of anatomical studies may result in reservations regarding the dispersion and absorption of local anesthetics. Further anatomical research on pediatric regional anesthesia may guide the practice.
摘要：
背景：儿科区域麻醉是由于阿片类药物保留策略的采用逐渐增加以及对全身麻醉药对神经发育可能的不利影响的日益关注。尽管如此，在儿科人群中进行区域麻醉研究具有挑战性,并且是缺乏证据的原因.这项研究旨在回顾尸体研究的科学基础，以评估儿童的区域麻醉技术。
方法：我们搜索了以下数据库MEDLINE，EMBASE,和WebofScience。我们纳入了评估儿童周围神经阻滞的解剖尸体研究。从研究中收集的核心数据包含在表格中，包括块类型，块评估，结果，和结论。
结果：搜索确定了2409项研究，其中，16是对儿科人群的解剖学研究。评估的技术是竖脊肌平面块，髂腹股沟/髂腹下神经阻滞，坐骨神经阻滞,上颌神经阻滞,椎旁阻滞,股神经阻滞,桡骨神经阻滞,枕大神经阻滞,锁骨下臂丛神经阻滞,和眶下神经阻滞.
结论：区域麻醉技术通常在儿童中进行，但是缺乏解剖学研究可能会导致对局部麻醉药的分散和吸收有所保留。对小儿区域麻醉的进一步解剖研究可以指导实践。
方法：我们搜索了以下数据库MEDLINE，EMBASE,和WebofScience。我们纳入了评估儿童周围神经阻滞的解剖尸体研究。从研究中收集的核心数据包含在表格中，包括块类型，块评估，结果，和结论。
结果：搜索确定了2409项研究，其中，16是对儿科人群的解剖学研究。评估的技术是竖脊肌平面块，髂腹股沟/髂腹下神经阻滞，坐骨神经阻滞,上颌神经阻滞,椎旁阻滞,股神经阻滞,桡骨神经阻滞,枕大神经阻滞,锁骨下臂丛神经阻滞,和眶下神经阻滞.
结论：区域麻醉技术通常在儿童中进行，但是缺乏解剖学研究可能会导致对局部麻醉药的分散和吸收有所保留。对小儿区域麻醉的进一步解剖研究可以指导实践。
