Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Nov 2014
Interscalene Brachial Plexus Blocks Under General Anesthesia in Children: Is This Safe Practice?: A Report From the Pediatric Regional Anesthesia Network (PRAN).
A practice advisory on regional anesthesia in children in 2008, published in this journal, supported the placement of regional blocks in children under general anesthesia (GA). Interscalene brachial plexus (IS) blocks were specifically excluded, based on case reports (level 3 evidence) of injury, which occurred predominantly in heavily sedated or anesthetized adult patients. Apart from case reports, there is a paucity of data that explore the safety of IS blocks placed in patients under GA, and the level of evidence available on which to base recommendations is limited. ⋯ Analyzing interscalene blocks in children placed under GA, we identified no serious adverse events. The upper limit of the confidence interval for these events is similar to that in awake or sedated adults receiving IS blocks. Based on these prospectively collected data, placement of IS blocks under GA in children is no less safe than placement in awake adults, calling into question the American Society of Regional Anesthesia and Pain Medicine advisory proscribing GA during IS block in pediatric patients.
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Reg Anesth Pain Med · Nov 2014
Biography Historical Article500th birthday of andreas vesalius, the founder of modern anatomy: "vivitur ingenio, caetera mortis erunt" ("genius lives on, all else is mortal").
It is often said that regional anesthesia is the practice of applied anatomy. Therefore, it is fitting that on the occasion of his 500th birthday, we celebrate the life and work of the brilliant Flemish anatomist, Andreas Vesalius (1514-1564), the founder of modern anatomy.