engleski

Why Regional Anesthesia in Children

Patient safety is a relatively new concept in the health care system, which is related to the prevention of errors and adverse events in medicine and to the activities toward building a culture of safety in order to protect patients from adverse events in the process of diagnosis and treatment. Pain relief is a worthwhile humanitarian and clinical goal and there is good evidence that regional anaesthesia and analgesia offer a superior quality of analgesia compared to opioid-based analgesia . Regional anaesthesia can influence a reduction in surgical morbidity and mortality, length of hospital stay, and other markers of improved outcome from surgery. In recent years, there has been a marked growth in the use of both neuraxial and peripheral nerve regional anaesthesia techniques and concerns have been raised about the potentially serious adverse events associated with this increased use. Studies have demonstrated a diminished stress response, fewer episodes of hypoxia, greater cardiovascular stability, faster return of gastrointestinal function, a reduced need for postoperative ventilation and a shorter stay in intensive care of children who have had surgery performed under regional anaesthesia. But really new aspects of regional anaesthesia in children during the last couple of years are the use of continuous peripheral nerve blocks and ultrasonography guidance to perform the blocks. Our training should be modified in order to introduce these new aspects into our daily clinical practice. The practice of regional anesthesia is getting more popular after the introduction of ultrasound technology in anesthesia practice. Each institute should develop a pathway where the safety of the patient with the safe practice of regional anesthesia is maintained.

safety ; quality management ; regional anesthesia in children

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