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Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS®)

Mary E Brindle1,2, Caraline McDiarmid3,4, Kristin Short3

  • 1Department of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, 28 Oki Drive, Calgary, AB, T3B 6A8, Canada. MaryEBrindle@gmail.com.

World Journal of Surgery
|May 10, 2020
PubMed

Insights

This study introduces the first Enhanced Recovery After Surgery (ERAS) guidelines for neonatal intestinal surgery. These evidence-based recommendations aim to improve perioperative care for infants undergoing intestinal resection.

Area of Science:

  • Pediatric Surgery
  • Evidence-Based Medicine
  • Healthcare Guidelines

Background:

  • Enhanced Recovery After Surgery (ERAS) Society guidelines are established for adult surgical specialties.
  • No existing ERAS guidelines are available for pediatric surgical care.
  • This initiative focuses on developing ERAS guidelines for neonatal intestinal resection surgery.

Purpose of the Study:

  • To create a comprehensive, evidence-based Enhanced Recovery After Surgery (ERAS) guideline tailored for neonates undergoing intestinal resection.
  • To establish a framework for the development of future pediatric ERAS guidelines.
  • To enhance the quality of care in neonatal intestinal surgery.

Main Methods:

  • A multidisciplinary group defined the scope and topics for the guideline.
  • Systematic reviews and targeted literature searches identified 3514 publications.
  • Recommendations were developed through expert consensus, with assessment of evidence quality and strength, incorporating parental input.

Main Results:

  • Seventeen final recommendations were established, covering areas from communication to antibiotic use.
  • Topics with poor or conflicting evidence were excluded.
  • The quality of evidence supporting the recommendations varied.

Conclusions:

  • A comprehensive, evidence-based ERAS guideline for neonatal intestinal resection surgery has been developed.
  • The guideline creation process serves as a model for future pediatric ERAS guideline development.
  • Implementation of these guidelines has the potential to improve perioperative outcomes in pediatric surgery.
Abstract

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