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

Jessica A George1,2, Rahul Koka3,4, Tong J Gan5

  • 1The Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University and School of Medicine, Baltimore, MD, USA. jgeorg24@jhmi.edu.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|December 23, 2017
PubMed

Insights

Enhanced recovery after surgery (ERAS) pathways show promise for children, but research is limited. More studies are needed to understand their effectiveness and implementation in pediatric surgical care.

Area of Science:

  • Pediatric Surgery
  • Perioperative Care
  • Evidence-Based Medicine

Background:

  • Enhanced Recovery After Surgery (ERAS) pathways are established protocols for adult perioperative care.
  • The application and efficacy of ERAS pathways in pediatric populations remain largely unexplored.
  • Adult ERAS pathways have demonstrated significant benefits in reducing patient morbidity.

Purpose of the Study:

  • To review existing literature on pediatric ERAS pathways.
  • To evaluate the potential benefits of ERAS in children.
  • To compare pediatric ERAS pathways with those used in adults.

Main Methods:

  • A comprehensive literature search was conducted using PubMed.
  • Search terms included "enhanced recovery" and "fast track" in the pediatric perioperative context.
  • Inclusion criteria encompassed patients from neonates to adolescents.

Main Results:

  • A significant scarcity of published research on pediatric ERAS pathways was identified.
  • Existing studies often focus on individual ERAS components rather than comprehensive protocols.
  • Delayed adoption of ERAS principles in pediatric surgery contributes to the limited data.

Conclusions:

  • The translation and implementation of ERAS pathways in pediatric surgery are not yet fully realized.
  • Further research is crucial to establish the utility and effectiveness of pediatric ERAS.
  • Evidence-based pediatric ERAS protocols are needed to optimize recovery in young surgical patients.
Abstract

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