Page 21 - GALENIKA MEDICAL JOURNAL

djetetu da pati od bola, kada jednostavne i bezbjedne tehnike PRA lako dopunjuju ili zamjenjuju
konvencionalnu - opštu anesteziju.

Regionalna anestezija je važan element za protokol poboljšanog oporavka nakon operacije (Enhanced
Recovery After Surgery, ERAS), jer omogućava optimalnu analgeziju, smanjuje potrebe za opioidima i
olakšava raniji povratak funkcije crijeva i kretanja. I dalje je, međutim, PRA nedovoljno zastupljena,
bez obzira na studije koje dokazuju njene prednosti.

Abstract

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.

Keywords: pediatric, regional, analgesia, anesthesia

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