• Paediatric anaesthesia · Feb 2022

    Review

    Thoracic regional anesthesia and the impact on ventilation.

    • Adrian Bosenberg and Erica Holland.
    • Department Anaesthesiology and Pain Management, University Washington and Seattle Children's Hospital, Seattle, Washington, USA.
    • Paediatr Anaesth. 2022 Feb 1; 32 (2): 380-384.

    AbstractThoracic surgical incisions can be associated with intense pain or discomfort. Postoperative thoracic pain may be multifactorial in origin. Inadequate analgesia causes respiratory dysfunction. Adequate analgesia preserves pulmonary function and may hasten recovery. Intravenous opioids are widely used but sufficient analgesia is seldom achieved in doses that permit safe spontaneous ventilation. Thoracic regional anesthesia provides profound analgesia, is opiate sparing and has minimal depressant effects on ventilation. Thoracic regional anesthesia is both an effective alternative to systemic analgesics or can be used as part of a multimodal analgesic technique.© 2021 John Wiley & Sons Ltd.

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