Enhanced recovery after surgery in children: Promising, evidence-based multidisciplinary care.
Kyle O RoveJohn C EdneyMegan A BrockelPublished in: Paediatric anaesthesia (2018)
Enhanced recovery after surgery (ERAS) is a multimodal approach to the care of the surgical patient focused on reducing the stress response and associated physiologic changes that accompany surgery. Over the past 20 years, ERAS programs have been found to result in reduced LOS and complications in adult patients. Despite abundant adult literature describing implementation and outcomes of enhanced recovery programs, pediatric data in this area is sparse. This educational review describes the history and elements of ERAS protocols, reviews the available evidence in adult and pediatric populations, compares and contrasts ERAS with the PSH, and offers strategies for implementation and ideas for future directions of ERAS in children.
Keyphrases
- quality improvement
- healthcare
- young adults
- primary care
- palliative care
- public health
- pain management
- minimally invasive
- systematic review
- childhood cancer
- electronic health record
- risk factors
- randomized controlled trial
- big data
- adipose tissue
- type diabetes
- surgical site infection
- neural network
- health insurance
- weight loss