Review 2025 · 7 atıf

Regional anesthesia for pediatric cardiac surgery: a review

Dost, Burhan, De Cassai, Alessandro, Amaral, Sara, Balzani, Eleonora, Karapinar, Yunus Emre, Beldagli, Muzeyyen, Yalin, Mirac Selcen Ozkal, Turunc, Esra, Ahiskalioglu, Ali, Tulgar, Serkan

Özet

BackgroundEffective pain management in pediatric cardiac surgery is essential for optimizing postoperative outcomes and promoting faster recovery. While intravenous analgesia remains a standard approach, regional anesthesia (RA) techniques have gained attention in this population due to their analgesic efficacy, reduced dependence on systemic opioids, and enhanced hemodynamic stability.Main BodyThis article provides an overview of current evidence of RA techniques for pediatric cardiac surgery. We discuss the role of RA in pediatric pain management, outlining various techniques, such as epidural, paravertebral block, fascial plane blocks and their specific applications, clinical outcomes, and the challenges posed by pediatric anatomy and pharmacokinetics. Pain assessment in pediatric populations and the complications associated with RA are also explored.ConclusionDespite the demonstrated efficacy of RA in this patient group, there is a need for large-scale randomized multicenter studies to establish standardized protocols and strengthen the evidence base for its use in pediatric cardiac surgery.

Anahtar Kelimeler

Children Cardiac Surgery Local Anesthesia Nerve block Pain SPINAE PLANE BLOCK POSTOPERATIVE PAIN LOCAL-ANESTHETICS ENHANCED RECOVERY STRESS-RESPONSE CHILDREN ANALGESIA EFFICACY SAFETY PHARMACOKINETICS

WoS Kategorileri

Anesthesiology

Künye

Dergi: BMC ANESTHESIOLOGY
Yıl: 2025
Cilt: 25
Sayı: 1
ISSN: 1471-2253
DOI: 10.1186/s12871-025-02960-z
WoS UID: WOS:001422477100001

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