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Background <p>Paediatric regional anaesthesia (RA) is a safe and effective modality for peri-operative pain management, associated with improved outcomes and reduced opioid use. However, utilisation remains variable, and defining appropriate benchmarks is challenging.</p> Methods <p>We conducted a 28-day retrospective audit of RA practice in a tertiary paediatric centre. All anaesthesiologist-performed regional blocks were recorded. Surgical cases not typically amenable to RA were excluded. The primary outcome was the proportion of patients receiving RA, with secondary analysis excluding unsuitable procedures.</p> Results <p>A total of 491 patients underwent surgery, of whom 94 (19.1%) received RA, increasing to 20.8% following case exclusion. A total of 117 blocks were performed, comprising 86 peripheral (73.5%) and 31 central (26.5%) blocks. Peripheral techniques included 42 lower limb (35.9%), 30 truncal/craniofacial (25.6%), and 14 upper limb (12.0%) blocks. Central blocks included 15 caudal (12.8%), 10 epidural (8.5%), and 6 paravertebral (5.2%) blocks.</p> Conclusion <p>RA utilisation in our institution is consistent with European data. These findings establish a local benchmark and support ongoing audit and quality improvement in paediatric anaesthesia practice.</p>

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A service evaluation of regional anaesthesia utilisation in an Irish paediatric tertiary referral centre

  • 期刊论文

  • 发表日期：

    2026年6月18日

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  • Christopher O’Loughlin,
  • Eamonn Coleman,
  • Hilary Leeson,
  • Ariij Booley

摘要

Background

Paediatric regional anaesthesia (RA) is a safe and effective modality for peri-operative pain management, associated with improved outcomes and reduced opioid use. However, utilisation remains variable, and defining appropriate benchmarks is challenging.

Methods

We conducted a 28-day retrospective audit of RA practice in a tertiary paediatric centre. All anaesthesiologist-performed regional blocks were recorded. Surgical cases not typically amenable to RA were excluded. The primary outcome was the proportion of patients receiving RA, with secondary analysis excluding unsuitable procedures.

Results

A total of 491 patients underwent surgery, of whom 94 (19.1%) received RA, increasing to 20.8% following case exclusion. A total of 117 blocks were performed, comprising 86 peripheral (73.5%) and 31 central (26.5%) blocks. Peripheral techniques included 42 lower limb (35.9%), 30 truncal/craniofacial (25.6%), and 14 upper limb (12.0%) blocks. Central blocks included 15 caudal (12.8%), 10 epidural (8.5%), and 6 paravertebral (5.2%) blocks.

Conclusion

RA utilisation in our institution is consistent with European data. These findings establish a local benchmark and support ongoing audit and quality improvement in paediatric anaesthesia practice.