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Application of the concept of fast-track surgery in pediatric ophthalmic surgery
1Department of Ophthalmology, Children's Hospital of Nanjing Medical University, No.8 Jiangdon South Road, Jianye District, Nanjing, 210000, China.
Insights
Fast-track surgery (FTS) effectively reduces pain and restlessness in pediatric ophthalmic patients post-operation. This approach improves recovery without increasing patient stress, offering a better perioperative nursing strategy.
Area of Science:
- Pediatric Anesthesiology
- Perioperative Nursing
- Ophthalmic Surgery
Background:
- Pediatric ophthalmic surgery requires careful management of the perioperative period.
- Traditional nursing methods may not fully address postoperative pain and discomfort in children.
- The fast-track surgery (FTS) approach offers a potential improvement in perioperative care.
Purpose of the Study:
- To evaluate the efficacy of the fast-track surgery (FTS) approach in pediatric ophthalmic surgery.
- To compare the FTS nursing mode with traditional methods regarding patient outcomes.
- To assess the impact of FTS on postoperative pain, restlessness, and nausea/vomiting.
Main Methods:
- A bidirectional cohort study design was employed.
- Two groups of 40 pediatric patients undergoing ophthalmic surgery were compared: a control group (traditional nursing) and an observation group (FTS nursing).
- Postoperative pain scores, restlessness scores, and incidence of nausea/vomiting were measured.
Main Results:
- Patients in the FTS group showed significantly lower pain and restlessness scores 4 hours post-surgery compared to the control group (P<0.01).
- The incidence of postoperative nausea and vomiting was slightly lower in the FTS group, though not statistically significant (P>0.05).
- FTS did not appear to increase the stress response in pediatric patients.
Conclusions:
- A perioperative FTS-based nursing mode is effective in alleviating postoperative pain and restlessness in pediatric patients.
- The FTS approach provides a safe and beneficial alternative for perioperative care in pediatric ophthalmic surgery.
- FTS enhances patient recovery without exacerbating physiological stress.
Purpose:
To explore the effects of the fast-track surgery (FTS) approach during the perioperative period of ophthalmic surgery in pediatric patients.
Methods:
A bidirectional cohort design was applied in this study. The traditional nursing mode was followed in relation to 40 pediatric patients admitted for ophthalmic surgery in March 2018 (control group), whereas the FTS mode was followed with regard to 40 pediatric patients admitted for ophthalmic surgery in April 2018 (observation group). The effects of the FTS mode were determined by comparing the postoperative pain score, restlessness score, and the incidence of postoperative nausea and vomiting between the two groups.
Results:
The pain and restlessness scores of the patients at 4hours after surgery in the observation group were significantly decreased compared with those in the control group (P<0.01). The incidence of postoperative nausea and vomiting in the observation group was also slightly lower than that in the control group (P>0.05).
Conclusion:
A perioperative FTS-based nursing mode can effectively alleviate the postoperative pain and restlessness of pediatric patients without increasing their stress response.
