• Pediatric emergency care · Apr 2024

    Building Blocks-A Block-by-Block Approach to Better Emergency Care in Children.

    • Yair Katzir, Lior Ganor, Ron Berant, and Keren Shahar-Nissan.
    • Hillel Yaffe Medical Center, Hadera, Israel.
    • Pediatr Emerg Care. 2024 Apr 2.

    ObjectiveWe describe a case series of regional nerve blocks, which comprise an adapted framework for the pediatric emergency setting and were performed by pediatric emergency medicine physicians.MethodsA case series of 8 different ultrasound-guided nerve blocks and 1 anatomical block, performed in 11 pediatric patients, aged 7 weeks to 17 years.ResultsAll blocks resulted in adequate analgesia. No procedural complications were observed.ConclusionWe describe a set of nerve blocks performed by emergency medicine physicians in the pediatric population in an ED setting. In suitable settings, this is a safe and effective tool for procedural analgesia or for pain management. In such cases, performing an ultrasound-guided nerve block in the ED is a viable alternative for repeated doses of opiates, deep procedural sedation, or the operating theater. We propose this set of regional anesthesia procedures as a pediatric-adapted toolkit for the emergency physician to be performed in children in the ED setting. Adopting this set of procedures ensures better and safer care for children and provides a training framework for pediatric ED physicians.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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