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July 11, 2026Pediatric AnesthesiaOpen Access

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

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Authors

DLDavid E. ListonSeattle Children's HospitalEHElizabeth E. HansenSeattle Children's HospitalJCJennifer L. ChiemSeattle Children's Hospital

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Implication

Retrospective review evaluates changes in regional anesthesia practices and outcomes in a pediatric ambulatory surgery center, indicating improved clinical results.

Key Points

  • To document changes in regional anesthesia practice over 14 years at a pediatric ambulatory surgery center.
  • Retrospective review of regional anesthesia practices from 7/2010 to 12/2024 at a pediatric ASC.
  • Aggregated health data extracted using a commercial software system from the electronic medical records.
  • Statistical process control methods employed to analyze common and special cause variation.
  • Incidence of peripheral nerve blocks increased from 13% to 35.4% with improved ultrasound use.
  • Central neuraxial blocks decreased from 10% to 2% in cases.
  • Anesthesia preparation time reduced from 16.8 to 12.5 minutes, with high success rates for regional anesthesia techniques.

Cite This Study

Liston et al. (2026) studied this question.

synapsesocial.com/papers/6a51df9fc18d7f28ca500968https://doi.org/10.1002/pan.70255
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Also Consider

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  1. 1Paraplegia Following Intracord Injection During Attempted Epidural Anesthesia Under General Anesthesia1998 · 4 citations
  2. 2Epidemiology and morbidity of regional anesthesia in children: a follow-up one-year prospective survey of the French-Language Society of Paediatric Anaesthesiologists (ADARPEF)2010 · 379 citations
  3. 3History of pediatric regional anesthesia2011 · 54 citations
  4. 4Optimizing peripheral regional anaesthesia: strategies for single shot and continuous blocks2024 · 3 citations
  5. 5Regional anaesthesia: what surgical procedures, what blocks and availability of a “block room”?2022 · 2 citations