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Fast-track recovery after day case surgery

Ossam Rhondali1,2, Edith Villeneuve1, Géraldine Queyrel2

  • 1Department of Pediatric Anesthesia, Hôpital Sainte Justine, Montréal, QC, Canada.

Paediatric Anaesthesia
|June 23, 2015
PubMed

Insights

Fast-track recovery for pediatric surgery improved care quality, but managing postoperative behavior and pain is key. Parental education on potential behavior changes is crucial for satisfaction.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Quality Improvement

Background:

  • Fast-track recovery processes are increasingly used for pediatric day case surgery.
  • Evaluating patient comfort and parental satisfaction is vital for optimizing care.

Purpose of the Study:

  • To assess postoperative comfort and parental satisfaction in children undergoing fast-track recovery.
  • To identify factors influencing satisfaction and areas for improvement in pediatric day surgery.

Main Methods:

  • Prospective study of children undergoing superficial procedures or dental treatment.
  • Parental questionnaires assessed postoperative pain (FLACC scale), nausea, vomiting, and behavior post-discharge.
  • Parental satisfaction measured using a four-point Likert scale.

Main Results:

  • 143 questionnaires returned; overall parental satisfaction was good.
  • Higher pain scores (FLACC >3) observed in dental procedures compared to other superficial surgeries.
  • Postoperative behavior changes (agitation, disinterest) significantly predicted parental dissatisfaction (OR 5.8).

Conclusions:

  • Optimal pain management is essential for improving fast-track recovery outcomes.
  • Enhanced parental information regarding potential postoperative behavior disturbances is needed.
  • Integrated parent and child preparation programs can further enhance care quality and satisfaction.
Abstract

Keywords:
childrenday case surgeryparental satisfactionpostoperative complications

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