Topical Lidocaine During Airway Manipulation in Pediatric Anesthesia
A Systematic Review and Meta-Analysis.
Paediatric anaesthesia
Reviewed April 2026 by Dr Liam O'Doherty
Weba et al conducted this meta-analysis of 14 randomised controlled trials (RCTs) to evaluate the impact of topical lidocaine on perioperative respiratory events (PRAEs) in children undergoing airway...
Consensus recommendations for paediatric airway topicalisation using lidocaine
Anaesthesia
Reviewed January 2026 by Dr Roeland Passier
This systematic literature review, followed by a three-round Delphi process, was conducted by an international expert multidisciplinary, multi-society working group. It produced consensus...
Comparison of analgesic efficacy and safety of caudal dexmedetomidine versus intranasal dexmedetomidine in paediatric infraumbilical surgeries
A randomised controlled trial
European Journal of Anaesthesiology
Reviewed January 2026 by Dr Matt Hart
This randomised, double-blind non-inferiority trial compared the analgesic efficacy and safety of caudal dexmedetomidine versus intranasal dexmedetomidine as an adjunct to a single-shot caudal block...
A Randomized Controlled Trial of Intrathecal versus Caudal Morphine-Bupivacaine on Postoperative Analgesia and Cortisol Levels in Pediatric Patients
Anesthesia Analgesia
Reviewed September 2025 by Dr Stephanie Pauling
This study compared the analgesic outcomes of caudal morphine and bupivacaine with intrathecal morphine and bupivacaine in patients aged 1-5 having general, urological and orthopaedic surgery below...
Intravenous lidocaine infusion therapy and intraoperative neurophysiological monitoring in adolescents undergoing idiopathic scoliosis correction
A retrospective study
Pediatric Anesthesia
Reviewed November 2024 by Dr Elizabeth Dalton
This was a single-centre retrospective study aimed at determining whether intravenous lignocaine infusion therapy during posterior spinal instrumentation and fusion (PSIF) for adolescent idiopathic...
Awake caudal anesthesia in ex-premature infants undergoing lower abdominal surgery
A narrative review.
Pediatric Anesthesia
Reviewed July 2024 by Dr John Burnett
It is well known that ex-premature infants are a high risk patient group, particularly with regard to perioperative apnoea. A question that is front of mind for most paediatric anaesthetists is “how...
Second infant spinal anesthetic
Incidence, dose modification, and adverse events after initial failure
Pediatric Anesthesia
Reviewed June 2024 by Dr Henrik Hack
To determine the overall spinal failure rate, incidence of second spinal attempt and success rate and any associated adverse events in infants. The Royal Children's Hospital, Melbourne has a long...
Measures to prolong duration of sensory block after regional anaesthesia
Current Opinion in Anaesthesiology
Reviewed January 2023 by Dr Derek Rosen
This review article discusses the evidence for the different techniques used to prolong sensory neural blockade. Of the commonly used adjuvants dexamethasone (perineural 4mg, followed by intravenous...
Unique Issues Related to Regional Anesthesia in Pediatric Orthopedics
Anesthesiology Clinics
Reviewed September 2022 by Dr Sinead Farrell
This review article addresses key questions about regional anaesthesia in paediatric practice. Blocks under GA or deep sedation are safe in children and should be the default. • The benefit of...
