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Pediatric Regional Anesthesia: A Practical Guideline for Daily Clinical Practice

Peter Marhofer1, Markus Zadrazil1, Philipp L Opfermann1

  • 1Department of Anesthesia, Intensive Care Medicine and Pain Medicine, Medical University of Vienna, Vienna, Austria.

Anesthesiology
|June 17, 2025
PubMed

Insights

Pediatric regional anesthesia has advanced significantly, offering safe and effective pain management for children. This review details state-of-the-art techniques for practical clinical implementation.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery

Background:

  • Pediatric regional anesthesia has seen substantial advancements over the last 20 years.
  • Techniques are increasingly practicable, reliable, and associated with very low complication rates.

Purpose of the Study:

  • To summarize current knowledge on pediatric regional anesthesia.
  • To provide a practical guide for implementing these techniques in clinical practice.

Main Methods:

  • Review of state-of-the-art information on pediatric regional anesthesia.
  • Focus on practical aspects for daily clinical use.

Main Results:

  • Regional anesthesia optimizes perioperative pain control in children.
  • Benefits include avoiding mechanical ventilation and favorable immunomodulatory/gastrointestinal effects.
  • Successful implementation requires specialized knowledge and skills.

Conclusions:

  • Pediatric regional anesthesia is a valuable subspecialty with growing appreciation.
  • A practical approach to implementation is essential for widespread adoption.

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