Avtor/Urednik		Kremesec, M; Primožič, J
Naslov		Področna anestezija pri otroku
Tip		članek
Vir		In: Gregorič A, editor. Otrok s kronično črevesno boleznijo, bolečina pri otroku, zdravstveno varstvo otrok in mladine: organizacija, stroka, denar. Zbornik 15. srečanje pediatrov v Mariboru z mednarodno udeležbo in 2. srečanje medicinskih sester z mednarodno udeležbo; 2005 apr 15-16; Maribor. Maribor: Splošna bolnišnica Maribor,
Leto izdaje		2005
Obseg		str. 78-84
Jezik		slo
Abstrakt		Over the last 20 years the combination of regional anaesthesia and light general anaesthesia has become widely used in children. Regional anaesthesia assures good post operative pain relief which is very import in small babies because of difficult pain assessment in this group. Regional anaesthesia is also used for cronic pain management in adult and children. The advantages of regional anaesthesia are reduced stress response, early recovery from anaesthesia and early extubation without respiratory depression. Local anaesthetics are relatively safe with few allergic reactions. Severe complications can follow if local anaesthetic is inadvertently injected into a vein or an artery as very high systemic levels will result; in case of disrespecting asepsis in performing regional anaesthesia an infection of CNS (central nervous system) can apper. Continuous monitoring is necessary. We have to be aware of all side and/or toxic effects of local anaesthetics. Only prompt and correct treatment (in the case of complications) should be undertaken to minimize the risk of progressive and permanent neurologic impairment. Caudal blocks are the most commonly used regional technique for intra and postoperative analgesia in children. It is safe, easy to perform and is the technique of choice for operations up to level T 10. Single shot lumbar and thoracic epidural blocks as well as continuous epidural anaesthesia at these levels are suitable for major thoracic and abdominal procedures. Specially thoracic blocks could be risky, so only high experienced anaesthetist could perform this technique after due consideration. (Abstract truncated at 2000 characters)
Deskriptorji		ANESTHESIA, CONDUCTION ANESTHETICS, LOCAL PAIN, POSTOPERATIVE ANESTHESIA, CAUDAL ANESTHESIA, EPIDURAL NERVE BLOCK CHILD