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Pediatric Surgery International

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01-12-2023 | Postoperative Pain Management | Original Article

Baseline assessment of enhanced recovery after pediatric surgery in mainland China

Authors: Nan Xie, Hua Xie, Weibing Tang

Published in: Pediatric Surgery International | Issue 1/2023

Abstract

Background

Enhanced recovery after surgery (ERAS) is a clinical pathway that optimizes perioperative management based on evidence-based medicine. ERAS has been gradually introduced to pediatric surgery in recent years. However, there are limited reports on its overall implementation. We aimed to determine the implementation of ERAS in patients who received pediatric surgery in mainland China.

Methods

We designed a questionnaire involving 17 key ERAS elements and sent the questionnaire to 66 chiefs of pediatric surgery distributed throughout 31 provinces in mainland China to obtain a baseline assessment of the assimilation of ERAS protocols in the care of congenital biliary dilatation (CBD).

Results

A total of 66 questionnaires were collected. The range of elements implemented at participating centers was 4–16, with a mean of 10.23. The least commonly practiced elements were administration of non-opioid preoperative analgesia (6 centers, 9.09%), prevention of postoperative nausea and vomiting [PONV] (9 centers, 13.64%), and postoperative pain management (26 centers, 39.39%).

Conclusions

The implementation of elements differed from center to center. Measures relying primarily on anesthesiologists had lower execution. The adherence to ERAS elements was often inhibited by a lack of institutional support, poor knowledge of ERAS protocols, and difficulties in coordinating multidisciplinary care, as well intransigence in changing surgical practices out of fear of liability for poor outcomes.

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Title: Baseline assessment of enhanced recovery after pediatric surgery in mainland China
Authors: Nan Xie
Hua Xie
Weibing Tang
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keyword: Postoperative Pain Management
Published in: Pediatric Surgery International / Issue 1/2023
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-022-05315-8

At a glance: The STEP trials

Springer Medicine

Baseline assessment of enhanced recovery after pediatric surgery in mainland China

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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