Abstract
Ortopedik cerrahide erken postoperatif ağrı çocuklar için önemli bir sorundur. Ultrasonun (US) kullanıma girmesi pediatrik rejyonal anestezide çok önemli gelişmelere yol açmıştır. Bu çalışmada konjenital tibial agenezi ve talipes ekinovarus nedeniyle bilateral dizdezartikülasyon yapılan 6 yaşında ki olguya postoperatif analjezi amacıyla, US eş­liğinde bilateral siyatik blok uygulamamızı literatür bilgile­riyle sunmayı amaçladık. Sonuç olarak US kılavuzluğun­da yapılan periferik sinir bloklarının ortopedik pediatrik cerrahide erken postoperatif ağrı tedavisi için de etkin ve güvenli bir şekilde uygulanabileceğini düşünüyoruz.
Keywords
References
- Marhofer P, Greher M, Kapral S. Ultrasound guidance in re- gional anaesthesia. Br J Anaesth 2005;94(1):7-17
- Jan van Geffen G, Tielens L, Gielen M. Ultrasound-guided interscalene brachial plexus block in a child with femur fibula ulna syndrome. Paediatr Anaesth 2006;16(3):330-2.
- Willschke H, Marhofer P, Bösenberg A, et al. Ultrasonogra- phy for ilioinguinal / iliohypogastric nerve blocks in chil- dren. Br J Anaesth 2005; 95(3):226-30.
- Rapp HJ, Grau T. Ultrasound-guided regional anesthe- sia in pediatric patients. Tech Reg Anesth Pain Manage 2004;8(2):179-98.
- Schafhalter-Zoppoth I, Gray AT. Ultrasound-guided unlar nerve block in the presence of a superficial ulnar artery. Re- gional Anesth Pain Med 2004; 29(3): 297-8.
- Oberndorfer U, Marhofer P, Bösenberg A, et al. Ultrasono- graphic guidance for sciatic and femoral nerve blocks in children. Br J Anaesth 2007; 98(6):797-801.
- Tierney E, Lewis G, Hurtig JB, Johnson D. Femoral nerve block with bupivacaine 0.25 per cent for postop- erative analgesia after open knee surgery. Can J Anaesth 1987;34(3):455-8.
Abstract
Early postoperative pain is one of the most important problems in pediatric orthopedic surgery. Introduction of the use of ultrasound (US) has led to very important de­velopments in pediatric regional anesthesia. We aimed to present with the literature data about that we applied the bilateral US-guided sciatic nerve block to the patient who was operated under bilateral knee disarticulation because of congenital tibia agenesis and talipes equinovarus. In conclusion we entertain that US-guided peripheral nerve blocks are effective and safety for postoperative pain in pediatric orthopedic surgery.
References
- Marhofer P, Greher M, Kapral S. Ultrasound guidance in re- gional anaesthesia. Br J Anaesth 2005;94(1):7-17
- Jan van Geffen G, Tielens L, Gielen M. Ultrasound-guided interscalene brachial plexus block in a child with femur fibula ulna syndrome. Paediatr Anaesth 2006;16(3):330-2.
- Willschke H, Marhofer P, Bösenberg A, et al. Ultrasonogra- phy for ilioinguinal / iliohypogastric nerve blocks in chil- dren. Br J Anaesth 2005; 95(3):226-30.
- Rapp HJ, Grau T. Ultrasound-guided regional anesthe- sia in pediatric patients. Tech Reg Anesth Pain Manage 2004;8(2):179-98.
- Schafhalter-Zoppoth I, Gray AT. Ultrasound-guided unlar nerve block in the presence of a superficial ulnar artery. Re- gional Anesth Pain Med 2004; 29(3): 297-8.
- Oberndorfer U, Marhofer P, Bösenberg A, et al. Ultrasono- graphic guidance for sciatic and femoral nerve blocks in children. Br J Anaesth 2007; 98(6):797-801.
- Tierney E, Lewis G, Hurtig JB, Johnson D. Femoral nerve block with bupivacaine 0.25 per cent for postop- erative analgesia after open knee surgery. Can J Anaesth 1987;34(3):455-8.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | September 1, 2011 |
| Submission Date | March 2, 2015 |
| Published in Issue | Year 2011 |