title: [Regional anesthesia for postoperative analgesia at home in children].
abstract: Hospitalization at home has known for the past few years a growing interest in care of patients. It has shown its advantages in children in terms of reducing the stress of parental separation, postoperative infections and the cost of hospitalization. But, pain remains the most common complaint in the postoperative follow-up of patients. As in adults, regional anesthesia has also shown interest in children in terms of morphine consumption and quality of postoperative analgesia. However, the use of single shot regional anesthesia seems to induce an exacerbation of pain upon returning home. For management of prolonged postoperative pain at home, continuous peripheral nerve blocks are then presented as the best options. This type of analgesia is mainly reserved for major orthopedic surgery in children. The quality of analgesia obtained in different pediatric studies is excellent with a low rate of adverse events. L-enantiomer local anesthetics are predominantly used at low concentrations for the systemic safety provided. The use of elastomeric disposable pumps for LA infusion allows early and easy ambulation with a simplified management, bringing great satisfaction to parents and children.
authors.affiliation: Service d'anesthésie et réanimation Lapeyronie, CHU Lapeyronie, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France. c-dadure@chu-montpellier.fr
authors.forename: C
authors.initials: C
authors.lastname: Dadure
authors.forename: C
authors.initials: C
authors.lastname: Macq
authors.forename: C
authors.initials: C
authors.lastname: Sola
authors.forename: O
authors.initials: O
authors.lastname: Raux
mesh_terms: D000698:Analgesia / Q000379:methods*; D000765:Anesthesia, Conduction / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D006699:Home Care Services; D006801:Humans; D009407:Nerve Block; D010149:Postoperative Pain / Q000188:drug therapy*
chemical_list: D000779:Anesthetics, Local