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Abstract

An increased interest in regional anesthesia in the pediatric practice was noted; however, the frequency of using regional blockages in children is much lower than in adults. This is facilitated by the insufficient awareness of anesthesiologists about the peculiarities of children’s physiology, fear of the child, fear of side effect development, and simply, unwillingness to use regional methods. This situation can be corrected at the stages of training young specialists.

Promoting regional anesthesia is required in the pediatric practice for residency training by improving theoretical knowledge and manual skills. This requires interest, knowledge, practical skills, and equipment.

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About the authors

Dmitriy V. Zabolotskiy

Saint-Petersburg State Pediatric Medical University

Author for correspondence.
Email: zdv4330303@gmail.com
ORCID iD: 0000-0002-6127-0798
SPIN-code: 6726-2571

MD, PhD, DSc, prof. (SPb)

Russian Federation, Saint-Petersburg

References

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  2. Jones LJ, Craven PD, Lakkundi A, et al. Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. Cochrane Database Syst Rev. 2015(6):CD003669. doi: 10.1002/14651858.CD003669.pub2
  3. Ovechkin AM, Bayalieva AZ, Ezhevskaya AA, et al. Postoperative analgesia. Annals of Critical Care. 2019(4):9–33. (In Russ). doi: 10.21320/1818-474x-2019-4-9-33
  4. Wong J, Lim SST. Epidural analgesia in a paediatric teaching hospital: Trends, developments, and a brief review of literature. Proceedings of Singapore Healthcare. 2017;27(1):49–54. doi: 10.1177/2010105817733997
  5. Zabolotskiy DV, Ulrikh GE, Malashenko NS, Kulev AG. Ultrasound in the hands of an anesthesiologist-exclusive or routine? Regional anesthesia and acute pain management. 2012;6(1):5–10. (In Russ).
  6. Guay J, Suresh S, Kopp S. The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children. Cochrane Database Syst Rev. 2019 Feb 27;2(2):CD011436. doi: 10.1002/14651858.CD011436.pub3. PMID: 30820938; PMCID: PMC6395955.
  7. Koriachkin VA, Chupris VG, Cherny AZh, et al. Systemic toxisity of local anesthethics during regional anesthesia in orthopedics and traumatology. Traumatology and orthopedics of Russia. 2015;(1):129–135. (In Russ).

Supplementary files

Supplementary Files
Action
1. JATS XML
2. The structure of anesthesia in children’s clinics in St. Petersburg in 2019

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