Related Experiment Video
Updated: May 18, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Everyday regional anesthesia in children
Peter Marhofer1, Giorgio Ivani, Santhanam Suresh
1Department of Anaesthesia, Intensive Care Medicine and Pain Therapy, Medical University of Vienna, Vienna, Austria. peter.marhofer@meduniwien.ac.at
Insights
Pediatric regional anesthesia (PRA) offers perioperative benefits but faces implementation challenges. This review addresses key issues in selecting, managing, and teaching pediatric blocks for better clinical practice.
Area of Science:
- Pediatric Anesthesiology
- Regional Anesthesia Techniques
- Perioperative Management
Background:
- Regional anesthesia is an evolving technique in pediatric care with significant perioperative advantages.
- Despite documented techniques, widespread clinical implementation of pediatric regional anesthesia (PRA) remains limited.
- Challenges in PRA include selecting appropriate blocks, managing patients perioperatively, and effective training.
Purpose of the Study:
- To provide an overview of critical 'hot' topics in pediatric regional anesthesia.
- To address the gap between described techniques and their daily clinical application.
- To highlight key areas for improvement in the practice of PRA.
Main Methods:
- This article is a review of current literature and clinical practice.
- It synthesizes information on 'hot' topics in pediatric regional anesthesia.
- Focuses on practical implementation challenges and educational strategies.
Main Results:
- Identifies specific challenges in the selection and management of pediatric regional anesthesia.
- Highlights the need for optimized teaching methodologies for these techniques.
- Underscores the gap between theoretical knowledge and practical application in PRA.
Conclusions:
- Effective implementation of pediatric regional anesthesia requires addressing specific clinical and educational hurdles.
- Optimizing block selection, perioperative management, and training are crucial for advancing PRA.
- Further research and standardized approaches are needed to enhance the use of PRA in children.
Abstract:
Regional anesthesia in children is an evolving technique with many advantages in perioperative management. Although most regional anesthesia techniques are sufficiently described in the literature, the implementation of these techniques into daily clinical practice is still lacking. The main problems associated with pediatric regional anesthesia (PRA) include the appropriate selection of blockade, the management around the block, and how to teach these techniques in an optimal manner. This review article provides an overview of these 'hot' topics in PRA.
Related Concept Videos
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
One of the advantages of...
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...
Local Anesthetics: Clinical Application as Spinal Anesthesia
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
Local Anesthetics: Common Agents and Their Applications
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Local Anesthetics: Pharmacokinetics
