Pediatric anesthesia & critical care

Baby steps to mastery: building blocks for novices in pediatric regional anesthesia

Reg Anesth Pain MedPublished Modified Delphi consensus study

Authors' conclusion

This consensus-driven framework defines a core set of pediatric regional anesthesia techniques that balance clinical effectiveness, feasibility, and accessibility.

Study context

Population
International panel of pediatric and regional anesthesia experts12 societies
Participants
33 participants
Outcome
Consensus on core, high-value, low-complexity pediatric nerve blocks (≥75% of panelists assigning a mean importance score of ≥8 on a 10-point Likert scale)
Methodological detailsfour-round, international expert panel, virtual roundtable discussion
  • Four-round
  • International expert panel
  • Virtual roundtable discussion

Recommendations

As reported in the abstract

Core pediatric RA blocks

Consensus reached on regional techniques

6

Strong agreement (50%-74%) on additional techniques

2

Eight core blocks: supraclavicular brachial plexus, rectus sheath, TAP*, suprainguinal fascia iliaca*, femoral nerve, adductor canal, popliteal sciatic nerve, landmark-based caudal (* strong agreement)

8

Original publication

Baby steps to mastery: building blocks for novices in pediatric regional anesthesia. Reg Anesth Pain Med. Published 1 April 2025. doi:10.1136/rapm-2025-106434

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