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Continuing Education in Anaesthesia, Critical Care & Pain 2004 4(5):148-151; doi:10.1093/bjaceaccp/mkh041
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Continuing Education in Anaesthesia, Critical Care & Pain | Volume 4 Number 5 2004 © The Board of Management and Trustees of the British Journal of Anaesthesia 2004

Local and regional anaesthesia in infants

NS Morton, FRCA FRCPCH, Consultant and Senior Lecturer in Paediatric Anaesthesia
Intensive Care and Pain Management, Royal Hospital for Sick Children, Glasgow, G3 8SJ
Tel/Fax: 01412 010186, E-mail: neil.morton{at}yorkhill.scot.nhs.uk (for correpondence)

Local or regional analgesia is the platform of multimodal analgesia for all paediatric patients, whatever their age, undergoing surgery or painful procedures, unless there is a specific contraindication. Local and regional analgesia provides dense intraoperative analgesia that continues into the postoperative period. Lower amounts of volatile anaesthetic agents are needed and an opioid-sparing effect is produced. For the pre-term neonate, some procedures can be performed under spinal or epidural analgesia alone, which may improve outcome and reduce postoperative respiratory morbidity. Regional anaesthesia acts synergistically with non-steroidal anti-inflammatory drugs (NSAIDs) to produce good analgesia with minimum side-effects, so for most day-case surgery, opioids may be avoided completely. Single-dose techniques are most often employed; however, pain control may be continued with repeated application of topical local anaesthesia or repeated doses, or continuous infusions of local anaesthesia applied topically, near peripheral nerves or nerve plexuses or via the extradural space if required.


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 Br J AnaesthHome page
P.-A. Lonnqvist and N. S. Morton
Postoperative analgesia in infants and children
Br. J. Anaesth., July 1, 2005; 95(1): 59 - 68.
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