{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:30:06Z","timestamp":1786977006713,"version":"build-2736575974"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T00:00:00Z","timestamp":1619481600000},"content-version":"vor","delay-in-days":116,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Peri\u2010operative pain management in the neonate with a sacrococcygeal teratoma poses significant challenges to the anaesthetist. Involvement of the sacrococcygeal area by the tumour often prevents the use of conventional regional anaesthetic techniques such as caudal or epidural analgesia, with a subsequent reliance on intravenous opioids and paracetamol. Since opioids are associated with respiratory depression, constipation and urinary retention, there is high incidence of opiophobia with consequent inappropriate dosage prescription, particularly in the paediatric population. We describe the use of an ultrasound\u2010guided sacral multifidus plane block in two neonates undergoing surgical excision of sacrococcygeal teratoma. The block is technically easy to perform and also avoids traversing critical structures. Hence, it may be regarded as a promising analgesic technique for painful interventions in the sacrococcygeal area.<\/jats:p>","DOI":"10.1002\/anr3.12116","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T05:50:45Z","timestamp":1619502645000},"page":"81-84","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Ultrasound\u2010guided sacral multifidus plane block for analgesia following excision of sacrococcygeal teratoma in two neonates"],"prefix":"10.1002","volume":"9","author":[{"given":"R.","family":"Mahajan","sequence":"first","affiliation":[{"name":"Department of Anesthesia, ICU and Pain Medicine Government Medical College Jammu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Gulati","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, ICU and Pain Medicine Government Medical College Jammu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Imaging Government Medical College Jammu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and ICU Postgraduate Institution of Medical Education and Research Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Bloria","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, ICU and Pain Medicine Government Medical College Jammu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"JItendra","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, ICU and Pain Medicine Government Medical College Jammu India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,27]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5049.181620"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13804"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2019.08.006"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2019.06.007"},{"key":"e_1_2_5_6_1","first-page":"293","article-title":"The FLACC: A behavioral scale for scoring postoperative pain in young children","volume":"23","author":"Merkel SI","year":"1997","journal-title":"Pediatric Nursing"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2020.02.003"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2019.04.014"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2020.109699"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-018-2087-0"},{"key":"e_1_2_5_11_1","first-page":"211","article-title":"The European Society of Regional Anaesthesia and Pain Therapy\/American Society of Regional Anesthesia and Pain Medicine recommendations on local anesthetics and adjuvants dosage in pediatric regional anesthesia","volume":"43","author":"Suresh S","year":"2018","journal-title":"Regional Anesthesia and Pain Medicine"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12116","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.12116","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T15:12:05Z","timestamp":1759936325000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1002\/anr3.12116"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12116","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"2021-03-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}