Academic Journal
Baby steps to mastery: building blocks for novices in pediatric regional anesthesia.
| Τίτλος: | Baby steps to mastery: building blocks for novices in pediatric regional anesthesia. |
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| Συγγραφείς: | Hagen JG; Anesthesiology & Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA hagenj@mskcc.org., Kattail D; Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada., Barnett N; Department of Anesthesiology and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA., Dingeman RS; Anesthesiology, Children's National, Washington, District of Columbia, USA., Hoffmann C; Anesthesiology, Akron Children's Hospital, Akron, Ohio, USA., Nichols M; Department of Anesthesia and Pain Medicine, American Society of Regional, Pittsburgh, Pennsylvania, USA., Stengel AD; Department of Anesthesia and Pain Medicine, American Society of Regional, Pittsburgh, Pennsylvania, USA., Tafoya S; Anesthesia, Shriners Hospitals for Children Northern California, Sacramento, California, USA., Ecoffey C; University Rennes 1, Rennes, France., Ivani G; Pediatric Anesthesiology and Intensive cARE, Azienda Ospedaliero Universitaria Citta della Salute e della Scienza di Torino, Torino, Italy., Kundu T; Anesthesiology, Medstar Georgetown University, Washington, District of Columbia, USA., Lönnqvist PA; Physiology & Pharmacology, Karolinska Inst, Stockholm, Sweden., Pearson A; Anesthesiology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Wilder R; Anesthesiology, Mayo Clinic in Minnesota, Rochester, Minnesota, USA., Banik D; Anesthesiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Bouarroudj N; Anesthesiology, Clinique Maissalyne, Constantine, Algeria., Chooi CSL; Department of Anaesthesia and Pain Medicine, Flinders Medical Centre, Adelaide, South Australia, Australia., Dave N; Anesthesiology, NH SRCC Children's Hospital, Mumbai, Maharashtra, India., Gurumoorthi P; Ganga Medical Centre and Hospitals Pvt Ltd, Coimbatore, India., Handlogten KS; Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota, USA., Heschl S; Department for Anesthesiology and Intensive Care Medicine, Medical University, Graz, Austria., Koziol J; The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia., Kynes JM; AIC Kijabe Hospital, Kijabe, Kenya., Lopez G; Anesthesiology, Hospital Pediatrico Pereira Rossell, Montevideo, Uruguay., Maniar A; Department of Anaesthesiology, Axon Anaesthesia Associates, SS Sparsh Hospital, Bengaluru, India., Osazuwa M; Anesthesiology, National Hospital Abuja, Abuja, Nigeria., Ponde V; Department of Anaesthesia, Hinduja Health Care Surgical and Research Centre, Mumbai, India., Tsui BCH; Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California, USA., Turbitt LR; Department of Anesthesia, Royal Victoria Hospital, Belfast, UK., Suresh S; Rush University Medical Center, Chicago, Illinois, USA. |
| Πηγή: | Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2026 Jul 06; Vol. 51 (7), pp. 813-822. Date of Electronic Publication: 2026 Jul 06. |
| Τύπος έκδοσης: | Journal Article; Consensus Statement |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BMJ Country of Publication: England NLM ID: 9804508 Publication Model: Electronic Cited Medium: Internet ISSN: 1532-8651 (Electronic) Linking ISSN: 10987339 NLM ISO Abbreviation: Reg Anesth Pain Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2018- : [London, United Kingdom] : BMJ Original Publication: Secaucus, NJ : Churchill Livingstone, c1998- |
| Ιατρικοί όροι (MeSH): | Pediatric Anesthesia*/methods , Nerve Block*/methods , Nerve Block*/standards , Anesthesia, Conduction*/methods , Anesthesia, Conduction*/standards , Clinical Competence*/standards, Humans ; Delphi Technique ; Child ; Infant ; Consensus ; Child, Preschool |
| Περίληψη: | Pediatric regional anesthesia offers significant benefits, yet its adoption faces barriers, including perceived overcomplexity. This study aimed to identify and establish a set of core, high-value, low-complexity nerve blocks to improve perioperative pain management in pediatric patients. A four-round modified Delphi consensus study was conducted with an international panel of pediatric and regional anesthesia experts. An initial long list of regional techniques was compiled by the Steering Committee and refined through iterative input. Panelists rated each technique on a 10-point Likert scale for importance. Consensus was defined as ≥75% of panelists assigning a mean importance score of ≥8. Techniques receiving 50%-74% agreement were categorized as having strong agreement and considered for inclusion. The final selection was confirmed through a virtual roundtable discussion. Thirty-three experts representing 12 pediatric and regional societies participated. Consensus was reached on six regional techniques, with strong agreement (*) on two additional techniques, identifying eight core pediatric regional anesthesia blocks: supraclavicular brachial plexus block, rectus sheath block, transverse abdominis plane block*, suprainguinal fascia iliaca block*, femoral nerve block, adductor canal block, popliteal sciatic nerve block, and landmark-based caudal block. This consensus-driven framework defines a core set of pediatric regional anesthesia techniques that balance clinical effectiveness, feasibility, and accessibility. These findings provide a practical entry point for practitioners looking to incorporate pediatric regional anesthesia into their practice, regardless of prior experience. Future efforts should focus on standardized training, implementation research, and policy initiatives to support widespread adoption and improve perioperative pain management in children globally. (© American Society of Regional Anesthesia & Pain Medicine 2026. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| Competing Interests: | Competing interests: JK: Financial investment in Cordis. PAL: Research funding from Maquet Critical Care and Attgeno. |
| Contributed Indexing: | Keywords: Acute Pain; Anesthesia, Regional; Nerve Block; Pain, Postoperative; Pediatric Anesthesia |
| Entry Date(s): | Date Created: 20250401 Date Completed: 20260707 Latest Revision: 20260721 |
| Update Code: | 20260722 |
| DOI: | 10.1136/rapm-2025-106434 |
| PMID: | 40169358 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1532-8651 |
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| DOI: | 10.1136/rapm-2025-106434 |