Minerva anestesiologica
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Minerva anestesiologica · Jun 2021
ReviewUpdates on neurologic complications in pediatric regional anesthesia.
Regional anesthesia has grown in popularity as a multimodal approach to analgesia. However, some anesthesiologists are fearful of regional blocks in pediatric patients as most require general anesthesia. ⋯ This review aimed to provide an update on the relevant literature regarding neurologic complications and the safety of regional blocks in pediatric patients. These large data sets have confirmed that regional anesthesia is a useful and safe modality in pediatric patients.
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Minerva anestesiologica · Jun 2021
Observational StudyPredicting difficult spinal anesthesia: development of a neuraxial block assessment score.
Spinal anesthesia is a commonly performed procedure with unpredictable difficulty. The objective of this study was to predict a difficult lumbar spinal anesthesia with clinical elements that are easy to collect. ⋯ The combination of more than one element increased the chance of a second skin puncture of more than 50%. This work proposes a simple clinical scoring system predicting the probability of a difficult spinal anesthesia.