Thoracic and lumbar paravertebral anesthesia in pediatric orthopedics and traumatology: A literature review
- Authors: Dolgopolskii M.N.1, Koriachkin V.A.1,2, Zabolotskii D.V.1,2, Safin R.R.1,2
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Affiliations:
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- Saint Petersburg State Pediatric Medical University
- Issue: Vol 11, No 1 (2023)
- Pages: 121-130
- Section: Scientific reviews
- Submitted: 30.11.2022
- Accepted: 10.02.2023
- Published: 31.03.2023
- URL: https://journals.eco-vector.com/turner/article/view/114995
- DOI: https://doi.org/10.17816/PTORS114995
- ID: 114995
Cite item
Abstract
BACKGROUND: Paravertebral anesthesia is an old regional anesthesia technique, with a history of more than 100 years. Generally, paravertebral anesthesia is used in adults as a strong analgesic tool for pain treatment. Paravertebral anesthesia is not a simple way of inducing regional anesthesia, as it has several complications. Paravertebral anesthesia has been a serious contraindication in pediatric surgery. At present, technical progress in ultrasonography permits the use of paravertebral anesthesia successfully in children in orthopedics and traumatology practice by discovering new possibilities for the surgical treatment of pain.
AIM: This study aimed to assess the current state and near-term prospects of using paravertebral anesthesia as a significant component of anesthesia in pediatric orthopedics and traumatology.
MATERIALS AND METHODS: Study data were obtained from public scientific sources, which were searched in the PubMed, Crossref, Google Scholar, Scopus, and RSCI databases without language restrictions. The depth of the information search was 90 years (up to 1932). In this study, analysis and synthesis based on the information obtained were used to build an analytic conclusion.
RESULTS: Various case reports and case reviews have described the experience of using thoracic and lumbar paravertebral anesthesia in pediatric orthopedics and traumatology, as well as reconstructive surgery and revealed that thoracic paravertebral anesthesia (in combination with general anesthesia) is currently the method of choice, competing with the thoracic epidural block and the high back straightening muscle block.
CONCLUSIONS: Paravertebral anesthesia as the psoas compartment block with the ultrasonography control is the most reliable and suitable method of regional anesthesia for pelvis orthopedic surgery.
Full Text
About the authors
Mikhail N. Dolgopolskii
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Email: mdolgopolsky@gmail.com
ORCID iD: 0000-0001-7690-2340
MD, Anesthesiologist and Intensivist
Russian Federation, Saint PetersburgViktor A. Koriachkin
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; Saint Petersburg State Pediatric Medical University
Email: vakoryachkin@mail.ru
ORCID iD: 0000-0002-3400-8989
SPIN-code: 6101-0578
MD, PhD, Dr. Sci. (Med.), Professor
Russian Federation, Saint Petersburg; Saint PetersburgDmitrii V. Zabolotskii
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; Saint Petersburg State Pediatric Medical University
Email: zdv4330303@gmail.com
ORCID iD: 0000-0002-6127-0798
SPIN-code: 6726-2571
MD, PhD, Dr. Sci. (Med.), Professor
Russian Federation, Saint Petersburg; Saint PetersburgRustam R. Safin
H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; Saint Petersburg State Pediatric Medical University
Author for correspondence.
Email: safin_r.r@hotmail.com
ORCID iD: 0000-0003-0960-7426
SPIN-code: 7464-7151
MD, PhD, Dr. Sci. (Med.)
Russian Federation, Saint Petersburg; Saint PetersburgReferences
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