TY - JOUR
T1 - Review of the enhanced recovery pathway for children
T2 - perioperative anesthetic considerations
AU - George, Jessica A.
AU - Koka, Rahul
AU - Gan, Tong J.
AU - Jelin, Eric
AU - Boss, Emily F.
AU - Strockbine, Val
AU - Hobson, Deborah
AU - Wick, Elizabeth C.
AU - Wu, Christopher L.
N1 - Publisher Copyright:
© 2017, Canadian Anesthesiologists' Society.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Purpose: Enhanced recovery after surgery (ERAS) pathways have been used for two decades to improve perioperative recovery in adults. Nevertheless, little is known about their effectiveness in children. The purpose of this review was to consider pediatric ERAS pathways, review the literature concerned with their potential benefit, and compare them with adult ERAS pathways. Source: A PubMed literature search was performed for articles that included the terms enhanced recovery and/or fast track in the pediatric perioperative period. Pediatric patients included those from the neonatal period through teenagers and/or youths. Principal findings: The literature search revealed a paucity of articles about pediatric ERAS. This lack of academic investigation is likely due in part to the delayed acceptance of ERAS in the pediatric surgical arena. Several pediatric studies examined individual components of adult-based ERAS pathways, but the overall study of a comprehensive multidisciplinary ERAS protocol in pediatric patients is lacking. Conclusion: Although adult ERAS pathways have been successful at reducing patient morbidity, the translation, creation, and utility of instituting pediatric ERAS pathways have yet to be realized.
AB - Purpose: Enhanced recovery after surgery (ERAS) pathways have been used for two decades to improve perioperative recovery in adults. Nevertheless, little is known about their effectiveness in children. The purpose of this review was to consider pediatric ERAS pathways, review the literature concerned with their potential benefit, and compare them with adult ERAS pathways. Source: A PubMed literature search was performed for articles that included the terms enhanced recovery and/or fast track in the pediatric perioperative period. Pediatric patients included those from the neonatal period through teenagers and/or youths. Principal findings: The literature search revealed a paucity of articles about pediatric ERAS. This lack of academic investigation is likely due in part to the delayed acceptance of ERAS in the pediatric surgical arena. Several pediatric studies examined individual components of adult-based ERAS pathways, but the overall study of a comprehensive multidisciplinary ERAS protocol in pediatric patients is lacking. Conclusion: Although adult ERAS pathways have been successful at reducing patient morbidity, the translation, creation, and utility of instituting pediatric ERAS pathways have yet to be realized.
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U2 - 10.1007/s12630-017-1042-6
DO - 10.1007/s12630-017-1042-6
M3 - Review article
C2 - 29270915
AN - SCOPUS:85038634753
SN - 0832-610X
VL - 65
SP - 569
EP - 577
JO - Canadian Journal of Anesthesia
JF - Canadian Journal of Anesthesia
IS - 5
ER -