Abstract
Central nervous blockades in children (caudal, epidural and spinal anesthesia) benefited from the progress recently done in devices and local anesthetics. Their use became more common with the growing interest about postoperative analgesia and their efficacy in this indication. They have shown to be safe if the appropriate device is used and if the contra-indications (coagulation disorders and infections) and security procedures are respected. Most of them are performed under light general anesthesia or sedation for the comfort of the child. They are effective in providing analgesia for subombilical procedure and the surgery of lower limbs. Some serious accidents are reported in case of unknown intravascular or intrathecal injection which may cause cardiovascular or neurological complications. A slow injection, frequent aspiration tests and a careful monitoring of the child may avoid these accidents.
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