Related Experiment Video
Updated: May 30, 2026

Electrophysiological Methods to Assess Peripheral Pain Block in an Anesthetized Rat
Published on: November 21, 2025
Blocks for pain management in children undergoing ambulatory surgery
1Section of Anaesthesiology & Intensive Care, Department of Physiology & Pharmacology, The Karolinska Institute, Stockholm, Sweden. per-arne.lonnqvist@ki.se
Insights
Regional anesthesia offers effective pain relief for pediatric ambulatory surgery, with ultrasound-guided blocks and continuous catheters showing promise for extended pain management. This approach can potentially improve patient recovery and bypass the need for a recovery room.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Pain Management
Background:
- Paediatric outpatient procedures have increased significantly (nearly 50% from 1996-2006 in the USA).
- Postoperative pain management in children undergoing ambulatory surgery remains a challenge, often being suboptimal.
- There is a growing need for effective analgesia strategies in pediatric ambulatory surgery.
Purpose of the Study:
- To review regional anesthesia techniques for pediatric ambulatory surgery.
- To highlight methods for achieving high-quality postoperative pain relief in children.
- To explore options for extending analgesia beyond the hospital stay.
Main Methods:
- Review of current literature on regional anesthesia in pediatric ambulatory surgery.
- Focus on ultrasound-guided peripheral nerve blocks.
- Discussion of continuous peripheral catheter techniques.
Main Results:
- Regional anesthesia, particularly ultrasound-guided nerve blocks, provides excellent early postoperative pain relief.
- Continuous peripheral catheters show potential for prolonged analgesia after discharge.
- Appropriate use of regional anesthesia may allow patients to bypass the recovery room.
Conclusions:
- Evidence supports the use of regional anesthesia in pediatric outpatient surgery.
- Further research is needed to quantify pain incidence and severity for common procedures.
- Comparative trials are required to compare regional techniques and oral analgesics.
Purpose Of Review:
Data from the USA show that the number of paediatric outpatient procedures has increased by almost 50% during the time period 1996-2006. Despite this increasing trend with regards to ambulatory surgery in children postoperative analgesia is still often suboptimal. The aim of this review is to give an overview of different regional anaesthesia techniques that successfully can be used in paediatric ambulatory surgery.
Recent Findings:
Regional anaesthesia, especially the increasing use of ultrasound-guided peripheral nerve blocking techniques, provide maybe the best way of achieving high-quality early postoperative pain relief and the use of continuous peripheral catheters appear very promising in order to extend analgesia after the return home. If used appropriately the use of regional anaesthesia may in some instances even make it possible to bypass the recovery room.
Summary:
Current evidence strongly supports the use of various regional anaesthetic techniques in paediatric outpatient surgery. However, further studies are needed to identify the incidence and severity of pain following different common ambulatory surgical procedures in children as well as comparative prospective randomized trials comparing different regional techniques as well as comparing regional anaesthesia to the best current combination of oral analgesics.
Related Concept Videos
Local Anesthetics: Clinical Application as Spinal Anesthesia
Skeletal Muscle Relaxants: Therapeutic Uses
Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Peripheral Artery Disease V: Postoperative Nursing Management
Parenteral Anesthetics: Overview
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
One of the advantages of...