title: Continuous infraclavicular brachial plexus block in a child.
abstract: Continuous regional anesthesia for both intra- and postoperative use in adults is becoming more common. As with many new anesthesia techniques, however, there is often a lag time before the same techniques are utilized in children. Our patient was a 10-year-old child requiring reoperation on her fifth digit with planned 48-h admission for range of motion exercises. We wanted to have a continuous regional blockade to control the patient's pain during the postoperative manipulations of the digit. A search of the literature from the last 10 years did not show any reports of the placements of a continuous brachial plexus block in children. In this case report, we present the successful placement and use of a continuous infraclavicular catheter in a child undergoing upper extremity surgery.
authors.affiliation: Department of Anesthesiology, Alfred I. duPont Hospital for Children, Nemours Children's Clinic, Wilmington, DE, USA.
authors.forename: Phoebe
authors.initials: P
authors.lastname: Fisher
authors.forename: Samuel E
authors.initials: SE
authors.lastname: Wilson
authors.forename: Melinda
authors.initials: M
authors.lastname: Brown
authors.forename: Theresa
authors.initials: T
authors.lastname: DiTunno
mesh_terms: D000577:Amides; D016058:Analgesia, Patient-Controlled; D000772:Anesthesia, Local; D000779:Anesthetics, Local; D001917:Brachial Plexus; D002648:Child; D002968:Clavicle / Q000294:innervation*; D005383:Finger Injuries / Q000601:surgery*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008619:Mepivacaine; D009407:Nerve Block / Q000379:methods*
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D008619:Mepivacaine