Pediatric anesthesia & critical care
Regional anaesthesia for awake urgent upper limb surgery in children: a prospective cohort study
Authors' conclusion
Using regional anaesthesia to facilitate awake surgery is feasible in children of school age undergoing urgent upper limb surgery.
Study context
- Population
- Children aged 6–12 y requiring urgent upper limb surgery, ultrasound-guided peripheral RA with 0.35% ropivacaine plus cartoons on touchscreen tablets to reduce anxiety
- Participants
- 99 children
- Outcome
- Successful awake surgery with peripheral RA
Main finding
As reported in the abstract
Successful awake surgery with peripheral RA, of 99 patients studied
81
82%
Observational data: associations, not effects.
Further findings
| Outcome | Values |
|---|---|
| Success rate by age | 6-year-olds 67% · 12-year-olds 100% |
| Staff-rated difficulty of RA administrationRated difficult | RA with sedation and/or GA 41% |
Success rate by age
- Success rate increased with age
Staff-rated difficulty of RA administration
- Low difficulty ratings in RA alone group, apart from catheter insertion in 2 patients
Safety
Serious adverse events and significant behavioural disturbances · 2-week follow-up
- No serious adverse events or significant behavioural disturbances observed
Original publication
Regional anaesthesia for awake urgent upper limb surgery in children: a prospective cohort study. Anaesthesia. Published 11 March 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →