Pediatric anesthesia & critical care
Factors associated with the use of regional anesthesia for calcaneal osteotomy in pediatric patients: A single‐center, retrospective cohort study
Main finding · Receipt of any blockResult — go to the resultAbsolute difference −22% 95% CrI −38% to −7%Authors' conclusion
In this study, developmental disability status and anesthesiologist experience were associated with a difference in the use of regional anesthesia in patients undergoing calcaneal osteotomy.
Study context
- Population
- Patients <18 years undergoing calcaneal osteotomy, 2013 to 2023287 cases
- Participants
- 225 patients
- Exposure
- Developmental disability vs none, minority vs nonminority, regional vs nonregional anesthesiologist, for block selection
- Outcome
- Block selection (popliteal-sciatic single-shot block, popliteal-sciatic catheter, no block)
Methodological detailssingle-centre, Bayesian hierarchical multinomial model
- Single-centre
- Bayesian hierarchical multinomial model
Main finding
Receipt of any block
Absolute difference
−22%
95% CrI −38% to −7%
By group
Developmental disability vs No developmental disability
absolute difference −22% (95% CrI −38% to −7%)
As reported in the abstract
Observational data: associations, not effects.
Further findings
Catheter placement
absolute increase 23%
Any block in children with developmental disability
absolute increase 30%
Overall block use
- Catheters
- 45%
- Single shot blocks
- 41%
- No block
- 14%
Original publication
Factors associated with the use of regional anesthesia for calcaneal osteotomy in pediatric patients: A single‐center, retrospective cohort study. Paediatr Anaesth. Published 9 November 2024. doi:10.
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