Les programmes de récupération rapide pour les enfants: considérations anesthésiques périopératoires

Translated title of the contribution: Review of the enhanced recovery pathway for children: perioperative anesthetic considerations

Jessica A. George, Rahul Koka, Tong J. Gan, Eric Jelin, Emily F. Boss, Val Strockbine, Deborah Hobson, Elizabeth C. Wick, Christopher L. Wu

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Translated title of the contributionReview of the enhanced recovery pathway for children: perioperative anesthetic considerations
Original languageFrench
Pages (from-to)569-577
Number of pages9
JournalCanadian Journal of Anesthesia
Volume65
Issue number5
DOIs
StatePublished - May 1 2018

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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