Регіонарна анестезія: традиції та інновації
DOI:
https://doi.org/10.31636/pmjua.v3i2.100Ключові слова:
регіонарна анестезія, спінальна анестезія, уніполярна спінальна анестезія, епідуральна анестезія, каудальна анестезія, паравертебральний блок, ТАР-блок, PecS-II-блок, іліоінгвінальний /іліогіпогастральний блок, дітиАнотація
Широке впровадження різноманітних методів регіонарної анестезії не могло оминути й дитячу анестезіологію. Використання сучасних методик РА та нових місцевих анестетиків є, безперечно, новою сходинкою розвитку дитячої анестезіології. У даній статті ми хочемо висвітлити переваги регіонарної анестезії у дітей як для інтра-, так і для постопераційного знечулення. Розглянемо методики виконання, переваги й недоліки спінальної та епідуральної анестезії, а також їхні різновиди, такі як уніполярний спінальний блок та каудальна анестезія, відповідно; паравертебральний блок і ТАР-блок як альтернативи епідуральній анестезії; а також методики та можливості застосування іліоінгвінального, іліогіпогастрального і ТАР-блоків. Використання вищеназваних методик дозволяє зменшити використання наркотичних анальгетиків, гіпнотиків та відповідно знизити їх системний вплив на організм дитини.
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