Regional Anesthesia for Totally Awake Upper Limb Surgery in PEDiatric Population
Status:
Recruiting
Trial end date:
2021-09-30
Target enrollment:
Participant gender:
Summary
Peripheral loco-regional anesthesia (LRA) for anesthetic purposes is a technique widely used
in adults for upper limb surgery. In pediatrics, LRA is not classically considered on its
own. It is usually performed for analgesic purposes during sedation or general anesthesia. It
is entirely possible to carry out awakened peripheral blocks in communicating children, of
school age, thus avoiding the issues of GA in pediatrics, in particular in an emergency
context. The use of Emla anesthetic skin patches for punctures (perfusion and LRA) as well as
the viewing of cartoons on touch tablets during treatment can improve the perception of
painless care such as LRA and treatment.
In pediatrics, only ropivacaine at a concentration of 0.2% has Marketing Authorization in
pediatrics in children under 12 for the production of peripheral blocks. On the basis of the
experience of the Claude Galien Private Hospital in this area, it seems interesting to assess
the feasibility of upper limb surgery under anesthetic LRA alone with a dose of ropivacaine
at the concentration 0.35% in communicating children, of school age.