Related Experiment Video
Updated: May 28, 2025
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Perioperative care bundle versus conventional perioperative care in pediatric patients undergoing minimally invasive
Liya Wang1, Lijuan Zheng2, Xiaobo Zhao3
1Liya Wang, Department of Endoscopy Room, Hebei Children's Hospital, Shijiazhuang city, Hebei Province, 050000, China.
Insights
A perioperative care bundle improved outcomes for pediatric patients undergoing minimally invasive digestive endoscopy. This approach led to faster recovery, fewer complications, and higher patient satisfaction compared to conventional care.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Critical Care Medicine
Background:
- Minimally invasive digestive endoscopy is a common procedure in pediatric patients.
- Optimizing perioperative care is crucial for improving patient outcomes and reducing complications.
Purpose of the Study:
- To evaluate the effectiveness of a perioperative care bundle in pediatric patients undergoing minimally invasive digestive endoscopy.
- To compare outcomes between patients receiving a care bundle versus conventional care.
Main Methods:
- Retrospective study of 98 pediatric patients undergoing minimally invasive digestive endoscopy.
- Patients were divided into a care bundle group and a conventional care group (1:1 ratio).
- Analysis included perioperative vital signs, postoperative recovery metrics, complication rates, and family satisfaction.
Main Results:
- The care bundle group showed significantly lower postoperative diastolic blood pressure, systolic blood pressure, heart rate, and mean arterial pressure compared to the conventional group.
- Faster recovery times (anal exhaust, defecation, out-of-bed activity, eating) and shorter hospital stays were observed in the care bundle group.
- The incidence of complications was significantly lower (4.08% vs 16.32%), and family satisfaction was higher (93.88% vs 81.63%) in the care bundle group.
Conclusions:
- The perioperative care bundle is more efficacious than conventional care for pediatric patients undergoing minimally invasive digestive endoscopy.
- Implementation of a care bundle can lead to improved patient recovery, reduced complications, and enhanced satisfaction.
Objective:
To investigate the effect of perioperative care bundle in pediatric patients undergoing minimally invasive digestive endoscopy.
Methods:
This was a retrospective study using clinical records of pediatric patients who underwent minimally invasive digestive endoscopy surgery at Hebei Children's Hospital from May 2020 to October 2023. Patients were divided into Care bundle group and Conventional care group based on the treatment received and matched for age, gender, and body mass index in 1:1 ratio. Perioperative vital signs, postoperative recovery, incidence of complications, and family members' satisfaction with nursing care were analyzed.
Results:
A total of 98 pediatric patients were included, with 49 patients in each group. After surgery, diastolic blood pressure (DBP), systolic blood pressure (SBP), heart rate (HR), and mean arterial pressure (MAP) of both groups increased compared to preoperative values and were significantly lower in the Care bundle group compared to the Conventional care group (P<0.05). The time for anal exhaust, time for defecation, time to first out-of-bed activity, time to start eating after surgery, and length of hospital stay were shorter in the Care bundle than the Conventional care group (all P<0.05). The incidence of complications in the Care bundle group (4.08%) was lower than the Conventional care group (16.32%) (P<0.05). The overall family members' satisfaction with the nursing care was considerably higher in the Care bundle group (93.88%) compared to the Conventional care group (81.63%) (P<0.05).
Conclusions:
Perioperative care bundle in pediatric patients undergoing minimally invasive digestive endoscopy was shown to be more efficacious than the conventional perioperative care.
Related Concept Videos
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
01:26Endoscopic Procedures V: ERCP
Patient...
01:25Endoscopic Procedures II: Colonoscopy
01:28Endoscopic Procedures III: Video Capsule Endoscopy
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...