The consensus statement of the Section of Paediatric Anaesthesiology and Intensive Therapy of the Polish Society of Anaesthesiology and Intensive Therapy on anaesthesia in children over 3 years of age.

Anaesthesia in children seems to be still a challenge for anaesthetists, who usually anaesthetize adult patients in everyday practice. The principles in the field of pediatric anaesthesiology in Poland are regulated by the regulation of the Minister of the Health on the organizational standard as well as requirements regarding the equipment and staff skills, taking into account the safety and quality of the comprehensive perioperative care in hospitals where those procedures are performed in children. The most important rule in the perioperative care is ERAS concept i.e. improving the results of surgical treatment through a comprehensive approach to child in the perioperative period. Some components of this concept apply to anesthetic field such as shortening fasting time, avoiding pharmacological premedication, multimodal analgesia, prevention nausea and vomiting or emergence delirium. This article presents the updated consensus statement of the Section of Paediatric Anaesthesiology and Intensive Therapy of the Polish Society of Anaesthesiology and Intensive Therapy on anesthesia in children over 3 years of age, regarding general and specific recommendations in selected surgical specialties. We hope that this statement, which is a continuation of the statement for children under 3 years, will be of interest to anaesthetists who perform anaesthesia in children and adolescents.