Central (spinal mediated) regional techniques; Peripheral nerve blocks; Pharmacology of local anesthetics; Safety points; Anesth Analg; Anesthesia; Anesthesia Complications Spinals; Anesthesia Onset; Anesthetic; Anesthetic Maximum Recommended Dose; Blocks; Brachial; Cardiac; Chassaignac's; Complication; DO Central; Definitive; Differences; Dose; Doses Local; Drug; ECG; Epidurals; Epinephrine; Faster Anesthesia Onset; Giaufre; Horner's; Litman, DO Central; Local; Local Anesthesia; Nerve Blocks; Ongoing; Onset; Pediatric Anesthesia Complications Spinals; Penile; Placing; Rates; Reasons; Recommen... show all keywordsCentral (spinal mediated) regional techniques; Peripheral nerve blocks; Pharmacology of local anesthetics; Safety points; Anesth Analg; Anesthesia; Anesthesia Complications Spinals; Anesthesia Onset; Anesthetic; Anesthetic Maximum Recommended Dose; Blocks; Brachial; Cardiac; Chassaignac's; Complication; DO Central; Definitive; Differences; Dose; Doses Local; Drug; ECG; Epidurals; Epinephrine; Faster Anesthesia Onset; Giaufre; Horner's; Litman, DO Central; Local; Local Anesthesia; Nerve Blocks; Ongoing; Onset; Pediatric Anesthesia Complications Spinals; Penile; Placing; Rates; Reasons; Recommended Dose; Recommended Doses Local; Regional; Risks; Ronald S. 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Regional anesthesia is a great post-op pain reliever for pediatric patients, because they often can't communicate their needs, nor can they use a patient-controlled analgesia device. Regional also boosts blood flow to the operative site, which can translate to faster recoveries. Though children must be sedated or anesthetized for most regional blocks - a normal 4-year-old simply won't cooperate sufficiently - nerve stimulators and ultrasound guidance minimize the chances of nerve damage and inaccurate block placement. Differences in technique and pharmacology due to anatomical and physiological differences between children and adults are the real issues. Here's a guide to understanding and dealing with those differences.
