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Standardization in Perioperative Care for Children with Medical Complexity

David I Rappaport1, Rachita Gupta2, Taylor B Sewell3

  • 1Department of Pediatrics, Emory University School of Medicine, Atlanta; Division of Pediatric Hospital Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA.

Pediatric Clinics of North America
|April 22, 2026
PubMed

Insights

A multidisciplinary, patient- and family-centered approach can reduce surgical risks for children with medical complexity. Strategies like enhanced recovery after surgery protocols and checklists improve perioperative care and patient advocacy.

Area of Science:

  • Pediatric Surgery
  • Medical Complexity
  • Perioperative Care

Background:

  • Children with medical complexity face elevated risks during surgery.
  • Limited research exists on optimizing perioperative care for this population.
  • A coordinated approach is crucial for managing surgical risks.

Purpose of the Study:

  • To review strategies for improving perioperative care for children with medical complexity.
  • To highlight the importance of patient- and family-centered approaches.
  • To advocate for standardized care protocols.

Main Methods:

  • Literature review on perioperative care for pediatric surgical patients.
  • Analysis of existing research on multidisciplinary approaches.
  • Examination of enhanced recovery after surgery (ERAS) protocols and checklists.

Main Results:

  • A patient- and family-centered, multidisciplinary approach is associated with reduced surgical complications.
  • Enhanced recovery after surgery protocols and perioperative checklists offer standardized care pathways.
  • These strategies support effective patient advocacy in the perioperative period.

Conclusions:

  • Implementing standardized, multidisciplinary, and patient-centered care is vital for children with medical complexity undergoing surgery.
  • Enhanced recovery protocols and checklists are key tools for optimizing outcomes.
  • Advocacy for these children extends throughout the perioperative process and beyond.

Keywords:
ChecklistsERASPerioperative care

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