Pediatric regional anesthesia: what is the current safety record?

Paediatr Anaesth. 2011 Jul;21(7):737-42. doi: 10.1111/j.1460-9592.2010.03499.x. Epub 2010 Dec 28.

Abstract

The use of regional anesthetics, whether as adjuncts, primary anesthetics or postoperative analgesia, is increasingly common in pediatric practice. Data on safety remain limited because of the paucity of very large-scale prospective studies that are necessary to detect low incidence events, although several studies either have been published or have reported preliminary results. This paper will review the data on complications and risk in pediatric regional anesthesia. Information currently available suggests that regional blockade, when performed properly, carries a very low risk of morbidity and mortality in appropriately selected infants and children.

Publication types

  • Review

MeSH terms

  • Analgesia / adverse effects
  • Anesthesia, Conduction / adverse effects*
  • Anesthesia, Epidural / adverse effects
  • Anesthesia, Spinal / adverse effects
  • Anesthetics, Local / administration & dosage
  • Anesthetics, Local / adverse effects
  • Catheter-Related Infections
  • Humans
  • Nerve Block / adverse effects
  • Nervous System Diseases / chemically induced
  • Nervous System Diseases / epidemiology
  • Pediatrics / trends*
  • Peripheral Nerves / pathology
  • Safety
  • Wakefulness

Substances

  • Anesthetics, Local