We report the results of a prospective study on the practice of pediatric regional anesthesia by the French-Language Society of Pediatric Anesthesiologists (ADARPEF) during the period from May 1,1993 to April 30,1994.
This study was designed to provide data concerning the epidemiology of regional anesthesia and its complications in a totally anonymous way.
Data from 85,412 procedures, 61,003 pure general anesthetics and 24,409 anesthetics including a regional block, were prospectively collected.
Central blocks (15,013), most of which were caudals, accounted for more than 60% of all regional anesthetics.
Peripheral nerve blocks and local anesthesia techniques represented only 38% of regional blocks and Bier block was used only 69 times.
Central and peripheral nerve blocks were performed in all pediatric age groups with some intergroup differences.
Most blocks were performed under light general anesthesia (89%), confirming the fact that regional anesthetics are used as techniques of analgesia rather than anesthesia.
Complications were rare (25 incidents involving 24 patients) and minor, and did not result in any sequelae or medicolegal action.
Peripheral nerve blocks and local anesthesia techniques were generally safe.
The overall complication rate of regional anesthesia was 0.9 per 1000, but because all complications occurred with central blocks, the complication rate of central blocks is in fact 1.5 per 1000 with significant variations in different age groups. (...)
Mots-clés Pascal : Anesthésie régionale, Enfant, Homme, Epidémiologie, Morbidité, France, Europe, Complication, Incidence
Mots-clés Pascal anglais : Regional anesthesia, Child, Human, Epidemiology, Morbidity, France, Europe, Complication, Incidence
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0005656
Code Inist : 002B27A03. Création : 21/05/1997.