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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326795 | PMC |
| http://dx.doi.org/10.1007/s00268-020-05530-1 | DOI Listing |
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Article Synopsis
- - The study compares the effectiveness of two methods of postoperative oral feeding—on-demand versus predetermined timing—in patients who had elective cholecystectomy surgeries under general anesthesia.
- - A total of 120 patients were divided into two groups; one received coconut water upon request (On-Demand group), while the other received it at a set time (Predetermined-Time group).
- - Results showed similar rates of postoperative nausea and vomiting in both groups, but patient satisfaction was significantly higher in the On-Demand group, suggesting that allowing patients to choose when they eat enhances their recovery experience.
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