PEDIATRIC ANESTHESIA: Edited by Jorge A. GálvezPediatric burn resuscitation, management, and recovery for the pediatric anesthesiologistSofia, Joseph; Ambardekar, AditeeAuthor Information Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas, USA Correspondence to Aditee Ambardekar, MD, MSEd, Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9068, USA. E-mail: firstname.lastname@example.org Current Opinion in Anaesthesiology: June 2020 - Volume 33 - Issue 3 - p 360-367 doi: 10.1097/ACO.0000000000000859 Buy Metrics Abstract Purpose of review The purpose of this article is to summarize literature in pediatric burn resuscitation and management that is relevant to the pediatric anesthesiologist. The scope of the literature is expanding as long-term survival in even the most critically ill, burn-injured children has increased. Recent findings Longstanding variations in the care of burn-injured children exist despite decades of experience in burn care management. There seems to be a discomfort outside major burn centers in the triage, evaluation, and assessment of burned children. This is evidenced by the prevalence of ‘unnecessary intubations’, continued overestimation of total body surface area injured, and subsequent fluid administration disproportionate to injury leading to over-resuscitation. Techniques, such as virtual reality and regional anesthesia are increasingly available and serve adjuncts to pharmacologic therapies for anxiolysis and analgesia. Such techniques reduce opioid utilization while maintaining patient comfort and satisfaction particularly during wound dressing changes. Questions about transfusion threshold and ratio of blood products remain topics of ongoing research. Summary Literature review continues to reveal underpowered or retrospective analyses of these very important questions. Public health burden caused by burns warrants rigorous, prospective studies to take the best care of these patients and portend the best long-term outcomes. Collaboration amongst pediatric anesthesiologists who care for these children is necessary to develop and execute powered studies to answer important questions. Copyright © 2020 YEAR Wolters Kluwer Health, Inc. All rights reserved.