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Pediatr Surg Int. 2019 Jun;35(6):631-634. doi: 10.1007/s00383-019-04476-3. Epub 2019 Apr 25.

Embracing change: the era for pediatric ERAS is here.

Author information

1
Department of Surgery, Cumming School of Medicine, Alberta Children's Hospital, University of Calgary, 28 Oki Drive, Calgary, AB, T3B6A8, Canada. MaryEBrindle@gmail.com.
2
Department of Surgery, Emory University, Atlanta, GA, USA.
3
Department of Anesthesiology, Virginia Commonwealth University Health System, Richmond, VA, USA.
4
Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
5
Department of Surgery, Virginia Commonwealth University Health System, Richmond, VA, USA.
6
Faculty of Medicine and Health, School of Health and Medical Sciences, Department of Surgery, Örebro University, Örebro, Sweden.
7
Department of Surgery, University of Toronto, Toronto, ON, Canada.

Abstract

The concept of Enhanced Recovery After Surgery (ERAS) has increasingly been embraced by our adult surgical colleagues, but has been slow to crossover to pediatric surgical subspecialties. ERAS® improves outcomes through multiple, incremental steps that act synergistically throughout the entire surgical journey. In practice, ERAS® is a strategy of perioperative management that is defined by strong implementation and ongoing adherence to a patient-focused, multidisciplinary, and multimodal approach. There are increasing numbers of surgical teams exploring ERAS® in children and there is mounting evidence that this approach may improve surgical care for children across the globe. The first World Congress in Pediatric ERAS® in 2018 has set the stage for a new era in pediatric surgical safety.

KEYWORDS:

Care pathways; ERAS; Enhanced recovery after surgery; Outcomes; Quality and safety

PMID:
31025092
DOI:
10.1007/s00383-019-04476-3
[Indexed for MEDLINE]

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