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Review of the enhanced recovery pathway for children: perioperative anesthetic considerations.
George, Jessica A; Koka, Rahul; Gan, Tong J; Jelin, Eric; Boss, Emily F; Strockbine, Val; Hobson, Deborah; Wick, Elizabeth C; Wu, Christopher L.
Afiliación
  • George JA; The Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University and School of Medicine, Baltimore, MD, USA. jgeorg24@jhmi.edu.
  • Koka R; SOM Anes Pediatric Anesthesiology, Bloomberg Children's Bldg 6339, 1800 Orleans Street, Baltimore, MD, 21287, USA. jgeorg24@jhmi.edu.
  • Gan TJ; The Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University and School of Medicine, Baltimore, MD, USA.
  • Jelin E; SOM Anes Pediatric Anesthesiology, Bloomberg Children's Bldg 6339, 1800 Orleans Street, Baltimore, MD, 21287, USA.
  • Boss EF; Department of Anesthesiology, Stony Brook University, Stony Brook, NY, USA.
  • Strockbine V; Department of General Pediatric Surgery, Johns Hopkins Bloomberg Children's Center and Johns Hopkins University, School of Medicine, Baltimore, MD, USA.
  • Hobson D; Department of Otolaryngology-Head and Neck Surgery and Health Policy & Management, Johns Hopkins University, School of Medicine and Bloomberg School of Public Health, Baltimore, MD, USA.
  • Wick EC; Department of General Pediatric Surgery, Johns Hopkins Bloomberg Children's Center and Johns Hopkins University, School of Medicine, Baltimore, MD, USA.
  • Wu CL; Department of Surgery, The Johns Hopkins Hospital and Johns Hopkins University, School of Medicine, Baltimore, MD, USA.
Can J Anaesth ; 65(5): 569-577, 2018 05.
Article en En | MEDLINE | ID: mdl-29270915
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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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Atención Perioperativa Límite: Child / Humans Idioma: En Revista: Can J Anaesth Asunto de la revista: ANESTESIOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Atención Perioperativa Límite: Child / Humans Idioma: En Revista: Can J Anaesth Asunto de la revista: ANESTESIOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos