Related Experiment Video

Updated: Jan 2, 2026

Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
06:00

Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection

Published on: December 30, 2025

1

Implementation of a pediatric enhanced recovery pathway decreases opioid utilization and shortens time to full

Michael R Phillips1, William T Adamson2, Sean E McLean1

  • 1The University of North Carolina.

Journal of Pediatric Surgery
|December 1, 2019
PubMed

Insights

Implementing an enhanced recovery after surgery (ERAS) pathway for pediatric inflammatory bowel disease (IBD) surgery improved feeding times and reduced opioid use without compromising outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Enhanced Recovery Pathways

Background:

  • Inflammatory Bowel Disease (IBD) management in pediatric surgical patients often involves complex care pathways.
  • Enhanced Recovery After Surgery (ERAS) protocols aim to optimize patient recovery and reduce surgical stress.

Purpose of the Study:

  • To evaluate the effectiveness of a pediatric ERAS pathway for patients undergoing surgery for Inflammatory Bowel Disease (IBD).
  • To compare outcomes between patients treated with an ERAS pathway and a preimplementation cohort.

Main Methods:

  • A retrospective comparative study involving pediatric patients with IBD.
  • Comparison of patients treated with an ERAS pathway versus a preimplementation cohort (PIC).
  • ERAS pathway focused on minimal fasting, multimodal analgesia, and early enteral nutrition.

Main Results:

  • ERAS patients showed increased regional anesthesia use and faster time to postoperative oral intake (POI).
  • ERAS patients had significantly reduced total and daily opioid utilization.
  • Length of stay (LOS) showed a nonsignificant decrease, and complication rates were similar between groups.

Conclusions:

  • A pediatric ERAS pathway is effective for IBD patients undergoing both laparoscopic and open surgery.
  • ERAS pathways positively impact opioid utilization and time to feeding in pediatric IBD surgery.
  • The implemented ERAS pathway improved key recovery metrics without adverse effects on surgical outcomes.
Abstract

Keywords:
Enhanced recovery after surgeryInflammatory bowel diseasePediatric surgery

More Related Videos

Author Spotlight: Advancements and Challenges in Machine Perfusion for Liver Transplantation05:25

Author Spotlight: Advancements and Challenges in Machine Perfusion for Liver Transplantation

Published on: June 14, 2024

911
A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition04:53

A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition

Published on: September 20, 2019

11.1K

Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
177
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
155
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
200
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
268
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
650
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
717