Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

Background Enhanced Recovery After Surgery (ERAS ® ) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved outcomes in multiple adult surgical specialties. There are currently no pediatric ERAS ® Society guidelines. We created an ERAS ® guideline desi...

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Bibliographic Details
Published inWorld journal of surgery Vol. 44; no. 8; pp. 2482 - 2492
Main Authors Brindle, Mary E., McDiarmid, Caraline, Short, Kristin, Miller, Kathleen, MacRobie, Ali, Lam, Jennifer Y. K., Brockel, Megan, Raval, Mehul V., Howlett, Alexandra, Lee, Kyong-Soon, Offringa, Martin, Wong, Kenneth, de Beer, David, Wester, Tomas, Skarsgard, Erik D., Wales, Paul W., Fecteau, Annie, Haliburton, Beth, Goobie, Susan M., Nelson, Gregg
Format Journal Article
LanguageEnglish
Published Cham Springer International Publishing 01.08.2020
Springer Nature B.V
Subjects
Abdominal Surgery
Anti-Infective Agents - therapeutic use
Antibiotic Prophylaxis
Antibiotics
Cardiac Surgery
Consensus
Digestive System Surgical Procedures - standards
Enhanced Recovery After Surgery
Evidence-Based Medicine
Gastroenterology - organization & administration
General Surgery
Guidelines
Humans
Infant, Newborn
Interdisciplinary Communication
Intestine
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Neonates
Neonatology - organization & administration
Pediatrics
Perioperative care
Perioperative Care - standards
Postoperative Care - standards
Practice Guidelines as Topic
Quality assessment
Recovery
Recovery (Medical)
Scientific Review
Societies, Medical
Surgery
Thoracic Surgery
Vascular Surgery
Online AccessGet full text

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Abstract Background Enhanced Recovery After Surgery (ERAS ® ) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved outcomes in multiple adult surgical specialties. There are currently no pediatric ERAS ® Society guidelines. We created an ERAS ® guideline designed to enhance quality of care in neonatal intestinal resection surgery. Methods A multidisciplinary guideline generation group defined the scope, population, and guideline topics. Systematic reviews were supplemented by targeted searching and expert identification to identify 3514 publications that were screened to develop and support recommendations. Final recommendations were determined through consensus and were assessed for evidence quality and recommendation strength. Parental input was attained throughout the process. Results Final recommendations ranged from communication strategies to antibiotic use. Topics with poor-quality and conflicting evidence were eliminated. Several recommendations were combined. The quality of supporting evidence was variable. Seventeen final recommendations are included in the proposed guideline. Discussion We have developed a comprehensive, evidence-based ERAS guideline for neonates undergoing intestinal resection surgery. This guideline, and its creation process, provides a foundation for future ERAS guideline development and can ultimately lead to improved perioperative care across a variety of pediatric surgical specialties.
AbstractList Enhanced Recovery After Surgery (ERAS ) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved outcomes in multiple adult surgical specialties. There are currently no pediatric ERAS Society guidelines. We created an ERAS guideline designed to enhance quality of care in neonatal intestinal resection surgery. A multidisciplinary guideline generation group defined the scope, population, and guideline topics. Systematic reviews were supplemented by targeted searching and expert identification to identify 3514 publications that were screened to develop and support recommendations. Final recommendations were determined through consensus and were assessed for evidence quality and recommendation strength. Parental input was attained throughout the process. Final recommendations ranged from communication strategies to antibiotic use. Topics with poor-quality and conflicting evidence were eliminated. Several recommendations were combined. The quality of supporting evidence was variable. Seventeen final recommendations are included in the proposed guideline. We have developed a comprehensive, evidence-based ERAS guideline for neonates undergoing intestinal resection surgery. This guideline, and its creation process, provides a foundation for future ERAS guideline development and can ultimately lead to improved perioperative care across a variety of pediatric surgical specialties.
BACKGROUNDEnhanced Recovery After Surgery (ERAS®) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved outcomes in multiple adult surgical specialties. There are currently no pediatric ERAS® Society guidelines. We created an ERAS® guideline designed to enhance quality of care in neonatal intestinal resection surgery. METHODSA multidisciplinary guideline generation group defined the scope, population, and guideline topics. Systematic reviews were supplemented by targeted searching and expert identification to identify 3514 publications that were screened to develop and support recommendations. Final recommendations were determined through consensus and were assessed for evidence quality and recommendation strength. Parental input was attained throughout the process. RESULTSFinal recommendations ranged from communication strategies to antibiotic use. Topics with poor-quality and conflicting evidence were eliminated. Several recommendations were combined. The quality of supporting evidence was variable. Seventeen final recommendations are included in the proposed guideline. DISCUSSIONWe have developed a comprehensive, evidence-based ERAS guideline for neonates undergoing intestinal resection surgery. This guideline, and its creation process, provides a foundation for future ERAS guideline development and can ultimately lead to improved perioperative care across a variety of pediatric surgical specialties.
Background Enhanced Recovery After Surgery (ERAS ® ) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved outcomes in multiple adult surgical specialties. There are currently no pediatric ERAS ® Society guidelines. We created an ERAS ® guideline designed to enhance quality of care in neonatal intestinal resection surgery. Methods A multidisciplinary guideline generation group defined the scope, population, and guideline topics. Systematic reviews were supplemented by targeted searching and expert identification to identify 3514 publications that were screened to develop and support recommendations. Final recommendations were determined through consensus and were assessed for evidence quality and recommendation strength. Parental input was attained throughout the process. Results Final recommendations ranged from communication strategies to antibiotic use. Topics with poor-quality and conflicting evidence were eliminated. Several recommendations were combined. The quality of supporting evidence was variable. Seventeen final recommendations are included in the proposed guideline. Discussion We have developed a comprehensive, evidence-based ERAS guideline for neonates undergoing intestinal resection surgery. This guideline, and its creation process, provides a foundation for future ERAS guideline development and can ultimately lead to improved perioperative care across a variety of pediatric surgical specialties.
Background Enhanced Recovery After Surgery (ERAS®) Society guidelines integrate evidence‐based practices into multimodal care pathways that have improved outcomes in multiple adult surgical specialties. There are currently no pediatric ERAS® Society guidelines. We created an ERAS® guideline designed to enhance quality of care in neonatal intestinal resection surgery. Methods A multidisciplinary guideline generation group defined the scope, population, and guideline topics. Systematic reviews were supplemented by targeted searching and expert identification to identify 3514 publications that were screened to develop and support recommendations. Final recommendations were determined through consensus and were assessed for evidence quality and recommendation strength. Parental input was attained throughout the process. Results Final recommendations ranged from communication strategies to antibiotic use. Topics with poor‐quality and conflicting evidence were eliminated. Several recommendations were combined. The quality of supporting evidence was variable. Seventeen final recommendations are included in the proposed guideline. Discussion We have developed a comprehensive, evidence‐based ERAS guideline for neonates undergoing intestinal resection surgery. This guideline, and its creation process, provides a foundation for future ERAS guideline development and can ultimately lead to improved perioperative care across a variety of pediatric surgical specialties.
Author Howlett, Alexandra
de Beer, David
Haliburton, Beth
Brindle, Mary E.
MacRobie, Ali
Lee, Kyong-Soon
Wong, Kenneth
Miller, Kathleen
Raval, Mehul V.
Fecteau, Annie
Short, Kristin
Lam, Jennifer Y. K.
Brockel, Megan
Wester, Tomas
Wales, Paul W.
Nelson, Gregg
McDiarmid, Caraline
Offringa, Martin
Skarsgard, Erik D.
Goobie, Susan M.
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  surname: Nelson
  fullname: Nelson, Gregg
  organization: Department of Oncology, Cumming School of Medicine, University of Calgary
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32385680$$D View this record in MEDLINE/PubMed
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Notes https://doi.org/10.1007/s00268‐020‐05530‐1
Mary E. Brindle and Caraline McDiarmid are co‐first authors.
Electronic supplementary material
contains supplementary material, which is available to authorized users.
The online version of this article
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Snippet Background Enhanced Recovery After Surgery (ERAS ® ) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved...
Background Enhanced Recovery After Surgery (ERAS®) Society guidelines integrate evidence‐based practices into multimodal care pathways that have improved...
Enhanced Recovery After Surgery (ERAS ) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved outcomes in...
BackgroundEnhanced Recovery After Surgery (ERAS®) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved...
BACKGROUNDEnhanced Recovery After Surgery (ERAS®) Society guidelines integrate evidence-based practices into multimodal care pathways that have improved...
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StartPage 2482
SubjectTerms Abdominal Surgery
Anti-Infective Agents - therapeutic use
Antibiotic Prophylaxis
Antibiotics
Cardiac Surgery
Consensus
Digestive System Surgical Procedures - standards
Enhanced Recovery After Surgery
Evidence-Based Medicine
Gastroenterology - organization & administration
General Surgery
Guidelines
Humans
Infant, Newborn
Interdisciplinary Communication
Intestine
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Neonates
Neonatology - organization & administration
Pediatrics
Perioperative care
Perioperative Care - standards
Postoperative Care - standards
Practice Guidelines as Topic
Quality assessment
Recovery
Recovery (Medical)
Scientific Review
Societies, Medical
Surgery
Thoracic Surgery
Vascular Surgery
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Title Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations
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Volume 44
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