Adverse Events and Complications in Different Types of Regional Anterior Abdominal Wall Blocks in Children

A.A. Albokrinov


Regional anesthesia is the important method of anesthetic management in children, but different techniques may have different safety profile. Objective: to study the incidence and nature of adverse events and complications in different types of regional anterior abdominal wall blocks in children. Materials and methods. The study included 156 patients who underwent open surgeries on anterior abdominal wall under propofol-based anesthesia in combination with one of the regional techniques (caudal anesthesia (n = 28), thoracolumbar paravertebral block (n = 49), transversus abdominis plane block (n = 49), iliohypogastric and ilioinguinal nerve block (n = 39) with 0.25% bupivacaine). Incidence and nature of adverse events and complications of regional blocks were studied. Results. We have detected such adverse events and complications, as blood aspiration, cerebrospinal fluid aspiration, need to redo block, more than one attempt to do block, respiratory depression, nausea/vomiting, urinary retention, prolonged motor block. The incidence of complications was highest in the group of caudal anesthesia. Conclusions. Peripheral regional anterior abdominal wall blocks in children have better safety profile and are associated with lower incidence of complications compared to caudal anesthesia.


children; anterior abdominal wall; regional anesthesia; caudal block; paravertebral block; transversus abdominis plane block; iliohypogastric and ilioinguinal nerve block; adverse events; complications


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