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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

Erschienen in:

19.12.2017 | Review Article/Brief Review

Review of the enhanced recovery pathway for children: perioperative anesthetic considerations

verfasst von: Jessica A. George, MD, MEd, Rahul Koka, MD, MPH, Tong J. Gan, MD, MBA, MHS, FRCA, Eric Jelin, MD, Emily F. Boss, MD, MPH, Val Strockbine, MSN, RN, CPHQ, Deborah Hobson, RN, Elizabeth C. Wick, MD, Christopher L. Wu, MD

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 5/2018

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Abstract

Purpose

Enhanced recovery after surgery (ERAS) pathways have been used for two decades to improve perioperative recovery in adults. Nevertheless, little is known about their effectiveness in children. The purpose of this review was to consider pediatric ERAS pathways, review the literature concerned with their potential benefit, and compare them with adult ERAS pathways.

Source

A PubMed literature search was performed for articles that included the terms enhanced recovery and/or fast track in the pediatric perioperative period. Pediatric patients included those from the neonatal period through teenagers and/or youths.

Principal findings

The literature search revealed a paucity of articles about pediatric ERAS. This lack of academic investigation is likely due in part to the delayed acceptance of ERAS in the pediatric surgical arena. Several pediatric studies examined individual components of adult-based ERAS pathways, but the overall study of a comprehensive multidisciplinary ERAS protocol in pediatric patients is lacking.

Conclusion

Although adult ERAS pathways have been successful at reducing patient morbidity, the translation, creation, and utility of instituting pediatric ERAS pathways have yet to be realized.

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Titel: Review of the enhanced recovery pathway for children: perioperative anesthetic considerations
verfasst von: Jessica A. George, MD, MEd
Rahul Koka, MD, MPH
Tong J. Gan, MD, MBA, MHS, FRCA
Eric Jelin, MD
Emily F. Boss, MD, MPH
Val Strockbine, MSN, RN, CPHQ
Deborah Hobson, RN
Elizabeth C. Wick, MD
Christopher L. Wu, MD
Publikationsdatum: 19.12.2017
Verlag: Springer US
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 5/2018
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-017-1042-6

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Review of the enhanced recovery pathway for children: perioperative anesthetic considerations