Abstract
Enhanced recovery after surgery (ERAS) is a holistic perioperative care protocol created to improve treatment outcomes. Implementation of new rules radically changed the perioperative care of adult patients. The protocol refers to the preoperative, intraoperative and postoperative periods. To describe a novel pediatric ERAS protocol designed for reverse stoma surgery and to compare a group of patients with implemented ERAS protocol to a group of patients from pre-ERAS period. A retrospective comparative review was performed which included 14 patients from pre-ERAS period (2016-2017) and 13 patients in the ERAS period (2018-2019). Total parenteral nutrition (TPN) time, time to oral fluid intake, time to regular diet, time to stooling, and length of stay (LOS) were analyzed. In the ERAS period, the LOS decreased from 8.64 to 6.08 days, time to oral fluid intake decreased from 4.36 to 1 postoperative day, time to regular diet decreased from 6.14 to 3.23 postoperative day. Total parenteral nutrition decreased from 5.14 in the pre-ERAS period to 1.69 days in the ERAS period. With the progress of implementation of ERAS protocol, TPN was gradually withdrawn. The implementation of the pediatric ERAS in children undergoing reverse stoma surgery is safe, reduces patient's metabolic stress and improves treatment outcomes. However, further research is needed.
Highlights
In 1999, Henrik Kehlet described the first attempts to improve adult perioperative care for patients undergoing open sigmoidectomy.[1]
To describe a novel pediatric Enhanced recovery after surgery (ERAS) protocol designed for reverse stoma surgery and to compare a group of patients with implemented ERAS protocol to a group of patients from pre-ERAS period
We presented a novel, pediatric enhanced recovery after surgery protocol implemented for children undergoing reverse stoma surgery at our department since January 2018
Summary
In 1999, Henrik Kehlet described the first attempts to improve adult perioperative care for patients undergoing open sigmoidectomy.[1]. In 2001, members of the working group, including Olle Ljungqvist and Henrik Kehlet, analyzed many more research works in the field of perioperative care and “fast track” programs, and identified a few other factors in the patient’s treatment which have an impact on surgical complications.[3]. The extended “fast track” program was formally named as enhanced recovery after surgery (ERAS) protocol. Such protocols have been adopted relatively slowly in both adult and pediatric surgery, and Kehlet in one of his recent works provides an interesting discussion about the reasons for that,[4] with encouragement to move forward. The protocol refers to the preoperative, intraoperative and postoperative periods
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Advances in clinical and experimental medicine : official organ Wroclaw Medical University
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
