title: [Application of ultrasound in paediatric abdominal trunk blocks].
abstract: Although relatively few studies have compared US guidance with established "blind" techniques, the available evidence suggests that the use of US guidance is a safe and effective way to facilitate correct needle placement and adequate spread of LA for abdominal wall nerve blocks. It improves block effectiveness and safety by reducing LA doses and by detecting anatomic variants or unsuspected pathologies. Different techniques are described and discussed: the transverse abdominal nerve blocks, the paraombilical block, the inguinal field block and the fascia transversalis block. Matched with improving technology, the use of US has significant benefits over conventional techniques to perform classic and new abdominal wall nerve blocks in children. However, more studies are required to evaluate the potential of US to support this finding.
authors.affiliation: Pôle urgences-réanimation-anesthésie-douleur, unité d'anesthésie réanimation pédiatrique, American Memorial Hospital, CHU de Reims, France. hludot@chu-reims.fr
authors.forename: H
authors.initials: H
authors.lastname: Ludot
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging*; D000009:Abdominal Muscles / Q000000981:diagnostic imaging; D034861:Abdominal Wall / Q000000981:diagnostic imaging; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007264:Inguinal Canal / Q000000981:diagnostic imaging; D009339:Needles; D009407:Nerve Block / Q000009:adverse effects / Q000379:methods*; D061214:Patient Safety; D014463:Ultrasonography
chemical_list: D000779:Anesthetics, Local