Skip Navigation

If you wish to respond to a paper or other item already published in the BJA, please go to the abstract/full text version of that item and click on the link "E-Letters: Submit a response to the article".

Electronic Letters to:

Paediatrics:
U. Oberndorfer, P. Marhofer, A. Bösenberg, H. Willschke, M. Felfernig, M. Weintraud, S. Kapral, and S. C. Kettner
Ultrasonographic guidance for sciatic and femoral nerve blocks in children
Br. J. Anaesth. 2007; 98: 797-801 [Abstract] [Full text] [PDF]
*E-letters: Submit a response to this article

Electronic letters published:

[Read E-letter] US Guided Nerve blocks in Children: Success in Local Anesthetic Dose Reductions?
Santhanam Suresh   (6 June 2007)

US Guided Nerve blocks in Children: Success in Local Anesthetic Dose Reductions? 6 June 2007
Top
Santhanam Suresh,
Pediatric Anesthesiologist
Children's Memorial Hospital, Chicago, USA

Send letter to journal:
Re: US Guided Nerve blocks in Children: Success in Local Anesthetic Dose Reductions?

In this article the authors have compared the use of US guidance vs. conventional nerve stimulation for sciatic and femoral nerve blocks. I think one of the main advantages of using US guidance is the clear anatomical visualization of local anesthetic filling around the nerve with a potential for dose reductions. Further, more accurate determinations of adequacy of the blocks with potential motor block and sensory block determination may lead to an accurate utilization of this technique in routine practice. It will be important for us to continue to perform these studies, potentially in a multi-institutional format with many more patients to come up with accurate guidelines for pediatric usage. These will benefit the specialty of pediatric anesthesia greatly and should be pursued.

Conflict of Interest:

Equipment support from Sonosite Inc, Bothell WA, USA