Paediatric anaesthesia & critical care

Perspectives in Pediatric Ambulatory Anesthesia: Part 3—One Center's Evolving Regional Anesthesia Experience and Outcomes

Paediatr AnaesthPublished Retrospective review

Authors' conclusion

This review's key findings include an evolution in RA practice, which in conjunction with opioid-sparing efforts, have driven improvements in clinical outcomes.

Study context

Population
Pediatric ambulatory surgery cases receiving regional anesthesia (RA) at a free-standing pediatric ambulatory surgery center, 7/2010 to 12/2024
Outcome
RA practice changes over 14 years
Methodological detailssingle-centre, free-standing pediatric ambulatory surgery center (ASC), statistical process control
  • Single-centre
  • Free-standing pediatric ASC
  • Statistical process control

Main finding

As reported in the abstract

Incidence of peripheral nerve blocks (PNB) increased from 13% to
35.4%
Central neuraxial block (CNB) dropped from 10% of cases to
2%
Single injection block at baseline (increased three-fold)
25%
Continuous catheter cases at baseline (decreased twice)
3.7%
Anesthesia preparation time with RA decreased from 16.8 min to
12.5 min
First attempt RA success rate, PNB
90%
First attempt RA success rate, CNB
83%
First attempt RA success rate, single injection
89%
First attempt RA success rate, continuous catheter
96%

Observational data: associations, not effects.

Further findings

PACU maximum pain and opioid use rates

Decreased for RA and non-RA patients

Original publication

Perspectives in Pediatric Ambulatory Anesthesia: Part 3—One Center's Evolving Regional Anesthesia Experience and Outcomes. Paediatr Anaesth. Published 9 July 2026. doi:10.1002/pan.70255

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.