Implementation of a pediatric enhanced recovery pathway decreases opioid utilization and shortens time to full feeding
Journal of Pediatric Surgery Dec 05, 2019
Phillips MR, Adamson WT, McLean SE, et al. - Researchers investigated the benefits of an enhanced recovery after surgery (ERAS) pathway for pediatric patients undergoing surgery for inflammatory bowel disease (IBD). In this single-institution retrospective comparative study, patients treated with an ERAS pathway were compared to consecutive patients in a Preimplementation Cohort (PIC) with similar open and laparoscopic surgeries for IBD. They assessed 23 PIC and 28 ERAS patients with similar demographic data and surgical and anesthetic approaches. Outcomes suggested a pediatric ERAS pathway as efficacious for IBD patients requiring laparoscopic and (unique to this study) open surgery. Using ERAS pathways, opioid utilization and time to feeding can be positively impacted with no negative impact on outcomes.
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