Pediatric anesthesia & critical care
Peripheral Regional Anesthesia Techniques in Pediatric Cardiac Surgery: A Scoping Review
Authors' conclusion
In conclusion, PRA techniques improve perioperative outcomes in pediatric cardiac surgery, including opioid sparing, earlier extubation, and shorter intensive care unit stay, with a favorable safety profile.
Study context
- Population
- Patients aged <18 years undergoing cardiac surgery under GA29 RCTs
- Comparison
- Peripheral RA techniques vs placebo, and between peripheral regional anesthesia (PRA) techniques
Methodological detailsPRISMA Extension for Scoping Reviews, qualitative synthesis, post hoc screening for evidence syntheses, 6 databases and trial registries searched up to August 2025; English-language RCTs
- PRISMA Extension for Scoping Reviews
- Qualitative synthesis
- Post hoc screening for evidence syntheses
- 6 databases and trial registries searched up to August 2025; English-language RCTs
Primary result
As reported in the abstract
Perioperative outcomes, PRA vs placebo
- PRA associated with reduced intraoperative and postoperative opioid consumption, shorter time to extubation, decreased ICU LOS and lower pain scores at 8 to 24 hours postoperatively in most studies
- Descriptive results
Further findings
Comparisons between PRA techniques
- Trials limited; findings inconclusive
Evidence syntheses (post hoc screening)
- Systematic reviews with meta-analysis identified
- 5
Safety
PRA-related complications (e.g. pneumothorax, block failure)
- Rare; incidence not different from placebo
Original publication
Peripheral Regional Anesthesia Techniques in Pediatric Cardiac Surgery: A Scoping Review. J Cardiothorac Vasc Anesth. Published 18 December 2025. doi:10. 1053/ j. jvca. 2025. 12. 012
Composed by AI from the published abstract and checked against it. How Briefs are made →