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Pediatric Surgery International

Published in:

01-01-2017 | Original Article

What is the role of enhanced recovery after surgery in children? A scoping review

Authors: Katherine L. Pearson, Nigel J. Hall

Published in: Pediatric Surgery International | Issue 1/2017

Abstract

Purpose

Enhanced recovery after surgery (ERAS) pathways are standard practice in adult specialties resulting in improved outcomes. It is unclear whether ERAS principles are applicable to Paediatric Surgery. We performed a scoping review to identify the extent to which ERAS has been used in Paediatric Surgery, the nature of interventions, and outcomes.

Methods

Pubmed, Cochrane library, Google Scholar, and Embase were searched using the terms enhanced recovery, post-operative protocol/pathway, fast track surgery, and paediatric surgery. Studies were excluded if they did not include abdominal/thoracic/urological procedures in children.

Results

Nine studies were identified (2003–2014; total 1269 patients): three case control studies, one retrospective review and five prospective implementations, no RCTs. Interventional elements identified were post-operative feeding, mobilisation protocols, morphine-sparing analgesia, reduced use of nasogastric tubes and urinary catheters. Outcomes reported included post-operative length of stay (LOS), time to oral feeding and stooling, complications, and parent satisfaction. Fast-track programmes significantly reduced LOS in 6/7 studies, time to oral feeding in 3/3 studies, and time to stooling in 2/3 studies.

Conclusion

The use of ERAS pathways in Paediatric surgery appears very limited but such pathways may have benefits in children. Prospective studies should evaluate interventions used in adult ERAS on appropriate outcomes in the paediatric setting.

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Title: What is the role of enhanced recovery after surgery in children? A scoping review
Authors: Katherine L. Pearson
Nigel J. Hall
Publication date: 01-01-2017
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 1/2017
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-016-3986-y

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Springer Medicine

What is the role of enhanced recovery after surgery in children? A scoping review

Abstract

Purpose

Methods

Results

Conclusion

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Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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