With the advent of ultrasound in regional anesthesia, there are less papers describing the older methods of regional blocks. But in places like India they are still relevant. This is my personal experience after giving interscalene block mainly for ortho patients in last 5 years. Interscalene block in Paediatrics is rarely used because of the presumed increased chance of pneumothorax and the inability to get paresthesia in the small children. Why interscalene block in children Prevention of respiratory complication of intubation ventilation and extubation. In emergency.
Post op analgesia. Method: premedication, oral Trichloryl 100 mg / kg 45 mts before surgery. inj Tremadol 3 mg / kg inj granisetron 10mic/kg. inj.ketamine 0.5 mg / kg.IV once inside theatre. ropivacain 3 mg/ kg diluted to 1 ml / kg . give one ml local over interscalene area at level of cricoid .use26 g needle.…
