Caudal Block, High Flow Oxygen Insufflation and Dexmedetomidine Sedation for Infant Inguinal Hernia Surgery-An Analysis of Post-Study Implementation Into Clinical Practice.
An Analysis of Post-Study Implementation Into Clinical Practice.
Pediatric Anesthesia
Reviewed May 2025 by Dr Michael Tan
This study is a prospective, multicentre, observational study across two Australian centres and one New Zealand centre. The aim was to assess the feasibility of intravenous dexmedetomidine, high-flow...
Comment on "Safety of Intrathecal Clonidine as an Adjuvant to Spinal Anesthesia in Infants and Children".
Pediatric Anesthesia
Reviewed September 2025 by Dr David Roche
This retrospective chart review explores the safety of intrathecal clonidine in infants and children up to 3 years of age who received spinal anaesthesia. In this single centre study the authors...
A Randomized Controlled Trial of Intrathecal versus Caudal Morphine-Bupivacaine on Postoperative Analgesia and Cortisol Levels in Pediatric Patients
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...
Dorsal penile nerve block versus caudal block for circumcision in pediatric patients
A systematic review and meta-analysis
Trends in Anaesthesia and Critical Care
Reviewed July 2025 by Dr Erin Chevis
A systematic review and meta-analysis comparing dorsal penile nerve block (DPNB) versus caudal block (CB), in addition to general anaesthesia, for paediatric patients undergoing circumcision. Primary...
Evaluation of the Pediatric Regional Anesthesia Time-Out Checklist
A Simulation Study
Pediatric Anesthesia
Reviewed August 2025 by Dr Su May Koh
This simulation-based study examined the effect of a Paediatric Regional Anaesthesia Time-out Checklist training for pediatric anaesthetists and trainees. Not surprisingly it found that checklist...
Regional Analgesia in Pediatric Cardiothoracic Surgery
A Bayesian Network Meta-analysis
Journal of Cardiothoracic and Vascular Anaesthesia
Reviewed July 2025 by Dr Aisling Gormley
This meta-analysis compared the effect of 13 different epidural and regional anaesthetic techniques (ERATs) on opioid consumption and pain scores in paediatric patients following cardiothoracic...
Analgesic efficacy and safety of erector spinae plane block in pediatric patients undergoing elective surgery
A systematic review and Meta-analysis of randomized controlled trials
Journal of Clinical Anesthesia
Reviewed March 2025 by Dr Matt Hart
This systematic review and meta-analysis compared analgesic efficacy and safety between erector spinae plane block (ESPB) and controls in paediatric surgical patients. The primary outcome analysed...
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...
Pediatric anesthetic for tracheobronchial foreign body extraction
A survey of practice in France
Pediatric Anesthesia
Reviewed December 2023 by Dr Meghan Cooney
Summary: This study describes the practices and preferences of pediatric anaesthetists in France, when presented with a survey with an anaesthetic scenario of tracheobronchial foreign body...
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...
New blocks on the kids
Core basic nerve blocks in paediatric anaesthesia
Anaesthesia
Reviewed January 2023 by Dr Derek Rosen
This useful review article discusses the benefits of regional anaesthesia in children (anaesthesia sparing, opioid sparing, and a reduction in emergence delirium severity) despite its lower use...
Intravenous ondansetron reduced nausea but not pruritus following intrathecal morphine in children
Interim results of a randomized, double‐blinded, placebo‐control trial
Pediatric Anesthesia
Reviewed September 2022 by Dr Falk Reinholz
Study Design - Prospective, double-blinded, randomized, placebo-controlled trial. Single centre in USA where intrathecal morphine (ITM) is commonly utilised. - Ondansetron 0.1mg/kg (max 16mg) or...
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...
Bilateral erector spinae plane blocks in children undergoing cardiac surgery
A randomized, controlled study
Journal of Clinical Anesthesia
Reviewed September 2022 by Dr Neil Hauser
This small, randomized control study of 40 patients investigated the utility of erector spinae plane blocks (ESPB) in paediatric sternotomy for cardiac procedures. The primary outcome was cumulative...
