Brachial plexus anaesthesia in children Temena

Ultrasound guidance for infraclavicular brachial plexus anaesthesia in children


Ultrasonography may offer significant advantages in regional anaesthesia of the upper and lower limbs. It is not known if the same advantages demonstrated in adults also apply to children. We therefore performed a prospective, randomised study comparing ultrasound visualisation to conventional nerve stimulation for infraclavicular brachial plexus anasesthesia in children. Forty children scheduled for arm and forearm surgery underwent infraclavicular brachial plexus blocks with ropivacaine 0.5 guided by either nerve stimulation or ultrasound visualisation.

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Lumbar Plexus Block for Management of Hip Surgeries

  1. Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. Department of Anesthesiology, Rasoul-Akram Medical Center, Iran University of Medical Sciences, Tehran, Iran



Lumbar plexus block (LPB) is one of the anesthetic options in the elderly patients undergoing hip surgeries.

femoral nerve blocks in children.

Ultrasonographic guidance for sciatic and femoral nerve blocks in children


Recent studies have shown that ultrasound guidance for paediatric regional anaesthesia can improve the quality of upper extremity and neuraxial blocks. We therefore investigated whether ultrasound guidance for sciatic and femoral nerve blocks prolongs sensory blockade in comparison with nerve stimulator guidance in children.


Forty-six children scheduled for surgery of one lower extremity were randomized to receive a sciatic and femoral nerve block under either ultrasound or nerve stimulator guidance.

Video referent to femoral nerve block

The items to be considered on the following video are:

  • Block characteristic: Basic technique
  • Patient position: Supine, slightly outside rotated lower extremity
  • Ultrasound equipment: Linear probe 38 mm
  • Specific ultrasound setting: Maximum frequency
  • Important anatomical structures: Femoral artery, iliopectineal arch, psoas major muscle
  • Ultrasound appearance of the neuronal structures: Poor echogenicity,
Ultra Fast-Track en hernioplastia inguinal

Ultra Fast-Track in inguinal hernia repair


Inguinal hernia surgery is a very common surgical procedure in our country, representing about 15% of all surgical procedures performed in the field of general surgery in adults. It is a relatively simple procedure, and with an increasingly frequent trend toward its inclusion in outpatient surgical programmes so the anaesthesia strategy employed becomes very relevant.

Bloc interscalénique

Interscalene block for necrotising fasciitis surgery in ASA IV patient


Regional anaesthesia is presented as an alternative to general anaesthesia offering better control of postoperative pain and a shorter anaesthetic recovery time, although not without complications. These benefits are of great importance in patients with high comorbidity where general anaesthesia may pose a high risk.

The brachial plexus block at interscalene level is one of the most commonly used techniques for upper limb surgery.


Awake patient intubation with AIRTRAQ: Bilateral Recurrent Paralysis


The new ASA guidelines for the management of the difficult airway indicate the use of video laryngoscopy with an IA level of evidence because many studies show that with them, a high incidence of successful OTI is achieved on the first attempt, without a higher rate of injuries in the airway derived from its use being associated.