Pediatric anesthesia & critical care

Peripheral Regional Anesthesia Techniques in Pediatric Cardiac Surgery: A Scoping Review

J Cardiothorac Vasc AnesthPublished Scoping review of randomised controlled trials

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 →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.