בשל "הגנת זכויות יוצרים" מובא להלן קישור לתקציר המאמר. לקריאתו בטקסט מלא, אנא פנה/י לספרייה הרפואית הזמינה לך.
The modern use of paediatric regional anaesthesia started in the mid-1980s, and became more widely practiced after the first World Congress on Pediatric Pain in Seattle 1988.
However, soon voices were raised questioning this practice since the majority of the blocks were performed with the child either anaesthetised or deeply sedated, which was perceived as being associated with unnecessary risk (‘double the anaesthetic, double the risk’).
In adult practice it was seen as contraindicated to do blocks in anaesthetised patients because of the patient's inability to report warning signs of potential nerve injury or signs of local anaesthetic systemic toxicity.
These comments resulted in a massive counter-argument.
Most of the world's most influential paediatric anaesthetists published a joint statement saying that it was considered safe and best practice to perform regional anaesthesia in anaesthetised children.