Periphere Blockaden bei Kindern

Die Regionalanästhesie findet bei Kindern zunehmend Verbreitung. Die globale Erfahrung mit Regionalanästhesie ist jedoch vergleichsweise beschränkt, denn Kinder sind seltene Patienten. So waren im Jahr 1996 in Frankreich nur 12 % der Patienten Kinder unter 14 Jahren, nur 1 % Säuglinge, und Neu- oder gar Frühgeborene sind extrem seltene Patienten [1]. Wir verfügen also nicht wie bei der Spinal- oder Epiduralanästhesie der Erwachsenen über die großen Erfahrungszahlen [2], sondern nur über wenige Fälle. Selbst bei der Kaudalanästhesie, dem am häufigsten verwendeten Regionalverfahren bei Kindern, sind die Zahlen vergleichsweise klein [3]. Dazu kommt, dass zwar die Regionalanästhesie bei Kindern an spezialisierten Zentren verwendet wird, dass aber vielfach die breite Anwendung in den peripheren Kliniken noch fehlt.

Literatur

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