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Description

Zhang TW et al

Almost a century later, brachial plexus blocks are now safely performed in the pediatric population with ultrasound guidance, allowing visualization of the needle as it travels in close proximity to vital structures in the neck and thorax

Key milestones include: Growth hormone deficiency : Multiple Phase 3 RCTs demonstrating efficacy for linear growth in GH-deficient children, with catch-up growth velocities of 10-12 cm/year in the first treatment year Adult GH deficiency : Controlled trials showing improved body composition (reduced visceral fat, increased lean mass), bone mineral density, and quality of life Turner syndrome : FDA-approved indication with documented growth velocity improvement AIDS wasting : Approved for HIV-associated wasting syndrome, demonstrating lean mass preservation Chronic renal insufficiency : Approved for growth failure in pediatric CKD patients The safety database spans decades of post-marketing surveillance across millions of patient-years, providing detailed understanding of both short-term and long-term risks