Pediatric enhanced recovery after surgery (ERAS): Advancements and outcomes in the last 5 years.

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

Current Opinion in Anesthesiology Pub Date : 2025-03-25 DOI:10.1097/ACO.0000000000001486

Megan A Brockel, Vidya T Raman

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引用次数: 0

Abstract

Purpose of review: The aim is to describe recent advances in pediatric enhanced recovery after surgery (ERAS) in all phases of care as well as the outcomes and impact of recent evidenced-based pathways in pediatric patients.

Recent findings: While profoundly impactful in the care of adult patients for nearly 3 decades, ERAS had a slower start in pediatric care that began approximately 10 years ago. Early outcomes were promising, and the multidisciplinary approach to perioperative care has gained momentum, with recent single-center studies of ERAS for pediatric patients showing reductions in both complications and length of stay. The first ERAS Society recommendations for pediatric patients were published in 2024, and two multicenter trials of pediatric ERAS, Pediatric urology recovery after surgery endeavor and ENhanced Recvovery in CHildren Undergoing Surgery (ENRICH-US), have completed enrollment and are expected to publish results in 2025.

Summary: ERAS in pediatric practice has made great strides in the past 5 years and has led to improved outcomes for young patients. Multicenter trial outcomes and the development of additional rigorous ERAS Society recommendations for children will guide future care.

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儿童手术后增强恢复（ERAS）：过去5年的进展和结果。

综述的目的：目的是描述儿科手术后增强恢复（ERAS）在所有护理阶段的最新进展，以及儿科患者近期循证途径的结果和影响。最近的研究发现：尽管ERAS在成人患者的护理中产生了近30年的深远影响，但在儿科护理中起步较慢，大约始于10年前。早期结果是有希望的，围手术期护理的多学科方法获得了动力，最近针对儿科患者的ERAS的单中心研究显示并发症和住院时间都减少了。第一个ERAS协会对儿科患者的建议于2024年发表，两项儿科ERAS多中心试验，儿科泌尿外科术后恢复努力和儿童手术后增强恢复（ENRICH-US），已完成登记，预计将于2025年公布结果。总结：在过去的5年里，ERAS在儿科实践中取得了巨大的进步，并改善了年轻患者的预后。多中心试验结果和ERAS协会针对儿童的其他严格建议的发展将指导未来的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Anesthesiology 医学-麻醉学

CiteScore

4.90

自引率

8.00%

发文量

207

审稿时长

12 months

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.