Document Detail


Feasibility of ultrasound-guided peripheral nerve block catheters for pain control on pediatric medical missions in developing countries.
MedLine Citation:
PMID:  18482232     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Continuous peripheral nerve blocks (CPNB) are effective for postoperative pain management in children in the hospital and at home. CPNB techniques are particularly advantageous when compared with systemic or oral opioids on medical missions to unfamiliar environments with minimal monitoring capacity. In addition, ultrasound-guidance facilitates the placement of perineural catheters in anesthetized children even in the absence of commercially packaged regional anesthesia equipment. We present a series of successful cases employing ultrasound-guided CPNB for postoperative analgesia on medical missions and discuss the impact of this technology on present and future patients in underserved countries.
Authors:
Edward R Mariano; Brian M Ilfeld; Gloria S Cheng; Hector F Nicodemus; Santhanam Suresh
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2008-05-08
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  18     ISSN:  1460-9592     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-11     Completed Date:  2008-10-09     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  598-601     Citation Subset:  IM    
Affiliation:
Department of Anesthesia, University of California, San Diego Medical Center, San Diego, CA, USA. ermariano@ucsd.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Amides / administration & dosage,  adverse effects,  therapeutic use
Anesthetics, Local / administration & dosage,  adverse effects,  therapeutic use
Bupivacaine / administration & dosage,  adverse effects,  therapeutic use
Catheterization
Child
Developing Countries*
Ecuador
Feasibility Studies
Female
Humans
Infant
Male
Medical Missions, Official*
Mepivacaine / administration & dosage,  adverse effects,  therapeutic use
Nerve Block / adverse effects,  instrumentation,  methods*
Pain, Postoperative / drug therapy*
Peripheral Nerves / drug effects,  ultrasonography*
Philippines
Surgical Procedures, Operative
Treatment Outcome
Grant Support
ID/Acronym/Agency:
GM077026/GM/NIGMS NIH HHS; K23 GM077026-04/GM/NIGMS NIH HHS
Chemical
Reg. No./Substance:
0/Amides; 0/Anesthetics, Local; 2180-92-9/Bupivacaine; 84057-95-4/ropivacaine; 96-88-8/Mepivacaine
Comments/Corrections

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