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World Journal of Surgery
Published in: World Journal of Surgery 8/2020

Open Access 01-08-2020 | Paracetamol | Scientific Review

Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

Authors: Mary E. Brindle, Caraline McDiarmid, Kristin Short, Kathleen Miller, Ali MacRobie, Jennifer Y. K. Lam, Megan Brockel, Mehul V. Raval, Alexandra Howlett, Kyong-Soon Lee, Martin Offringa, Kenneth Wong, David de Beer, Tomas Wester, Erik D. Skarsgard, Paul W. Wales, Annie Fecteau, Beth Haliburton, Susan M. Goobie, Gregg Nelson

Published in: World Journal of Surgery | Issue 8/2020

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Abstract

Background

Enhanced Recovery After Surgery (ERAS®) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved outcomes in multiple adult surgical specialties. There are currently no pediatric ERAS® Society guidelines. We created an ERAS® guideline designed to enhance quality of care in neonatal intestinal resection surgery.

Methods

A multidisciplinary guideline generation group defined the scope, population, and guideline topics. Systematic reviews were supplemented by targeted searching and expert identification to identify 3514 publications that were screened to develop and support recommendations. Final recommendations were determined through consensus and were assessed for evidence quality and recommendation strength. Parental input was attained throughout the process.

Results

Final recommendations ranged from communication strategies to antibiotic use. Topics with poor-quality and conflicting evidence were eliminated. Several recommendations were combined. The quality of supporting evidence was variable. Seventeen final recommendations are included in the proposed guideline.

Discussion

We have developed a comprehensive, evidence-based ERAS guideline for neonates undergoing intestinal resection surgery. This guideline, and its creation process, provides a foundation for future ERAS guideline development and can ultimately lead to improved perioperative care across a variety of pediatric surgical specialties.
Appendix
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Metadata
Title
Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations
Authors
Mary E. Brindle
Caraline McDiarmid
Kristin Short
Kathleen Miller
Ali MacRobie
Jennifer Y. K. Lam
Megan Brockel
Mehul V. Raval
Alexandra Howlett
Kyong-Soon Lee
Martin Offringa
Kenneth Wong
David de Beer
Tomas Wester
Erik D. Skarsgard
Paul W. Wales
Annie Fecteau
Beth Haliburton
Susan M. Goobie
Gregg Nelson
Publication date
01-08-2020
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 8/2020
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-020-05530-1

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