Current situation of enhanced recovery after surgery in pediatric surgery
10.16151/j.1007-810x.2017.03.014
- VernacularTitle:小儿外科的加速康复外科应用现状
- Author:
Jie TANG
- Keywords:
Pediatric surgery;
Enhanced recovery after surgery;
Clinical practice
- From:Parenteral & Enteral Nutrition
2017;24(3):177-180
- CountryChina
- Language:Chinese
-
Abstract:
ERAS,namely enhanced recovery after surgery,refers to the implementation of optimized EBM (evidence-based medicine) measures comprised of preoperative preparation,anesthesia and postoperative management,in order to reduce psychological stress and physiological trauma,thus contributing to rapid recovery.Recently,researches focus mainly on adult ERAS and are rarely seen in pediatric surgeries.Considering the more sophisticated process children faced,it is urgent and strongly-needed to enforce optimization of perioperative management in pediatric surgeries.Difficulties and challenges exist in the process of ERAS in pediatric surgery,such as the break-through of traditional concepts,cooperation between departments of the anesthesiology and surgery,the fasting time issue,implementation of goal-di-rected fluid therapy,anesthesia method selection,analgesia mode and drug options.Prospective,multicenter clinical trials are needed to explore and solve the problems.In this paper,we review the present situation,difficulties,and prospects in ERAS of pediatric surgery.
