Publications by authors named "Concetta Lupa"

The pediatric anesthesiology workforce is currently facing a critical shortage, which will have significant consequences for patient care and the healthcare system as a whole. The workforce is aging, and despite increasing numbers of anesthesiology residents, fewer graduates are entering the field of pediatrics. It should also be noted that fewer medical school graduates are entering pediatrics as well.

View Article and Find Full Text PDF
Article Synopsis
  • Enhanced recovery protocols (ERP) were analyzed in a study of pediatric colorectal surgery patients to evaluate their impact on postoperative complications compared to conventional care.
  • The study included 194 patients and found that although the ERP group had a shorter hospital stay and lower Foley catheter duration, they also had significantly higher odds of reoperation within 30 days post-surgery.
  • No significant differences were observed in overall complications, readmissions, or emergency room returns, indicating more research is needed to refine ERP strategies for improved patient safety.
View Article and Find Full Text PDF

Background: Enhanced recovery protocols (ERP) are a multimodal approach to standardize perioperative care. To substantiate the benefit of a pediatric-centered pathway, we compared outcomes of children treated with pediatric ERP (pERP) versus adult (aERP) pathways. We aimed to compare components of each pathway to create a new comprehensive pERP to reduce variation in care.

View Article and Find Full Text PDF

Introduction: Enhanced recovery after surgery (ERAS) pathways in adult colorectal surgery are known to reduce complications, readmissions, and length of stay (LOS). However, there is a paucity of ERAS data for pediatric colorectal surgery.

Methods: A 2014-2018 single-institution, retrospective cohort study was performed on pediatric colorectal surgery patients (2-18 years) pre- and post-ERAS pathway implementation.

View Article and Find Full Text PDF

Background: We hypothesized that an enhanced recovery after surgery (ERAS) pathway for pediatric patients undergoing surgery for inflammatory bowel disease (IBD) would be beneficial.

Methods: This is a single institution retrospective comparative study comparing patients treated with an ERAS pathway to consecutive patients in a Preimplementation Cohort (PIC) with similar open and laparoscopic surgeries for IBD. The pathway emphasized minimal preoperative fasting, multimodal and regional analgesia, and early enteral nutrition after surgery.

View Article and Find Full Text PDF

Background: Laparoscopic appendectomy is one of the most common surgical procedures performed in children. However, to our knowledge, the postoperative pain experience of children undergoing laparoscopic appendectomy has never been described. In this study, we assessed the postoperative pain experience of children undergoing laparoscopic appendectomy.

View Article and Find Full Text PDF