Infiltrate around the greater palitine foramen to provide local anesthesia of the area to be injected once the injection area is anesthetized slowly advance the needle approximately 30 mm judged based upon the size of the patient rotate and aspirate again to be sure that the needle is not intravascular inject the carpule very slowly. Pain management is a very important component of pediatric intervention especially in procedures performed only under local anesthesia or local anesthesia and sedation it has been stated that the administration of a local anesthetic can be the most painful part of a procedure a minor pain at the beginning of a procedure can upset the child making completion of the procedure more difficult . Epidural anesthesia was the main topic for postoperative pain control in two clinical trials the influence of preemptive local anesthetic infusion with a thoracic epidural catheter on thoracotomy was evaluated and the effects of preemptive and postoperative infusions were compared it was shown that preemptive administration of local anesthetic solution offered superior analgesic quality and . Novel approaches in regional anesthesia pain management 1 introduction regional techniques in pediatrics are increasingly used in the perioperative medicine intraoperative and postoperative pain control in infants and children is one of the basic fields of any anesthesiologist and regional anesthesia plays currently an important role to both chronic and acute pain control although . Anatomy of the trigeminal nerve journal of the california dental association maxillary nerve block pterygopalitine canal approach local anesthetic review classification of local anesthetics and properties of local anesthetics local anesthetic review clinical pharmacology local anesthetic review properties of local anesthetics
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