Perioperative management in pediatric day surgery: a synthesis of best evidence

Area of Science:

• Pediatric Surgery
• Evidence-Based Medicine
• Perioperative Care

Background:

• Perioperative management in pediatric day surgery requires robust evidence-based guidance.
• Optimizing care for children undergoing same-day surgical procedures is crucial for patient outcomes.

Purpose of the Study:

• To retrieve, analyze, and extract evidence on perioperative management in pediatric day surgery.
• To establish an evidence-based foundation for clinical perioperative care of children undergoing day surgery.

Main Methods:

• Comprehensive literature search across multiple databases and guideline repositories up to August 2024.
• Inclusion of relevant literature including guidelines, systematic reviews, expert consensuses, and randomized controlled trials.
• Evidence summarization focused on day surgery systems, quality, safety, and perioperative management.

Main Results:

• 1821 articles were initially identified, with 15 ultimately included in the synthesis.
• The included literature comprised clinical decision-making articles, guidelines, systematic reviews, expert consensus statements, and one randomized controlled trial.
• 26 pieces of best evidence were summarized across key aspects of pediatric day surgery.

Conclusions:

• The evidence synthesis provides 26 actionable recommendations for pediatric day-surgery teams.
• This roadmap supports context-adapted perioperative management to facilitate knowledge translation into practice.
• The findings aim to enhance the quality and safety of perioperative care for children undergoing day surgery.