Key result
Regional anesthesia in pediatric patients provides optimal perioperative analgesia, reduces the need for systemic opioids, and improves surgical outcomes with a very low complication rate.
Why the study?
Pain experienced during childhood causes harmful consequences, making adequate perioperative and postoperative analgesia critical to reduce surgical stress and complications.
Regional anesthesia is a safe and effective method for managing acute and chronic pain in pediatric patients, reducing the stress response to surgery and minimizing the need for systemic opioids.
Adequate early postoperative analgesia may reduce complications in infants; hypothesis-generating and requires prospective validation.
Pain, especially when experienced during childhood, has numerous harmful consequences. Pain sensitivity is higher the younger the child is, so from birth, we must administer analgesia both during and after surgery. Adequate postoperative analgesia, particularly during the first 48 hours, reduces the body's stress response to surgery, thereby affecting endocrine, metabolic, and inflammatory changes. This helps reduce the frequency of postoperative complications and improves surgical outcomes. The increasingly widespread use of regional anesthesia in infants, children, and adolescents over the past two decades has significantly improved the treatment of acute and chronic pain. The latest guidelines emphasize its safety and show that children who received regional anesthesia are in significantly more stable condition compared to those who underwent general anesthesia.
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Dušica Simić (2024) conducted a review in Perioperative and chronic pain in pediatric patients. Regional anesthesia and analgesia vs. General anesthesia and systemic analgesia was evaluated. Regional anesthesia in pediatric patients provides optimal perioperative analgesia, reduces the need for systemic opioids, and improves surgical outcomes with a very low complication rate.
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