Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS

Anti-Infective Agents / therapeutic use Antibiotic Prophylaxis Consensus Digestive System Surgical Procedures / standards Enhanced Recovery After Surgery Evidence-Based Medicine Gastroenterology / organization & administration Humans Infant, Newborn Interdisciplinary Communication Neonatology / organization & administration Perioperative Care / standards Postoperative Care / standards Practice Guidelines as Topic Societies, Medical

Journal

World journal of surgery
ISSN: 1432-2323
Titre abrégé: World J Surg
Pays: United States
ID NLM: 7704052

Informations de publication

Date de publication:
08 2020
Historique:
pubmed: 10 5 2020
medline: 10 2 2021
entrez: 10 5 2020
Statut: ppublish

Résumé

Enhanced Recovery After Surgery (ERAS 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.

Sections du résumé

BACKGROUND
Enhanced Recovery After Surgery (ERAS
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.

Identifiants

DOI: 10.1007/s00268-020-05530-1 PMID: 32385680 PMC: PMC7326795
pubmed: 32385680
doi: 10.1007/s00268-020-05530-1
pii: 10.1007/s00268-020-05530-1
pmc: PMC7326795
doi:

Substances chimiques

Anti-Infective Agents 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2482-2492

Commentaires et corrections

Type : CommentIn

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Auteurs

Mary E Brindle (ME)

Department of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, 28 Oki Drive, Calgary, AB, T3B 6A8, Canada. MaryEBrindle@gmail.com.
Department of Surgery and Community Health Sciences, Cumming School of Medicine, University of Calgary, 28 Oki Drive, Calgary, AB, T3B 6A8, Canada. MaryEBrindle@gmail.com.

Caraline McDiarmid (C)

Department of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, 28 Oki Drive, Calgary, AB, T3B 6A8, Canada.
Department of Medicine, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.

Kristin Short (K)

Department of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, 28 Oki Drive, Calgary, AB, T3B 6A8, Canada.

Kathleen Miller (K)

Department of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, 28 Oki Drive, Calgary, AB, T3B 6A8, Canada.

Ali MacRobie (A)

Department of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, 28 Oki Drive, Calgary, AB, T3B 6A8, Canada.

Jennifer Y K Lam (JYK)

Department of Surgery, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, 28 Oki Drive, Calgary, AB, T3B 6A8, Canada.

Megan Brockel (M)

Department of Anesthesiology, Children's Hospital Colorado, 13123 E 16th Avenue, Aurora, CO, 80045, USA.

Mehul V Raval (MV)

Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Avenue, Chicago, IL, 60611, USA.

Alexandra Howlett (A)

Section of Neonatology, Department of Pediatrics, Alberta Children's Hospital, Cumming School of Medicine, University of Calgary, 28 Oki Drive, Calgary, AB, T3B 6A8, Canada.

Kyong-Soon Lee (KS)

Division of Neonatology, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.

Martin Offringa (M)

Division of Neonatology, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.

Kenneth Wong (K)

Department of Surgery, Li Ka Shing Faculty of Medicine, University of Hong Kong, 21 Sassoon Road, William M. W. Mong Block, Hong Kong, China.

David de Beer (D)

Department of Pediatric Anesthesia, Great Ormond Street Hospital, Great Ormond Street, London, WC1N 3JH, UK.

Tomas Wester (T)

Department of Pediatric Surgery, Karolinska University Hospital, Eugeniavagen 23, 171 76, Solna, Stockholm, Sweden.

Erik D Skarsgard (ED)

Department of Pediatric Surgery, British Columbia Children's Hospital, 4480 Oak Street, Vancouver, BC, V6H 3N1, Canada.

Paul W Wales (PW)

Division of General and Thoracic Surgery, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.

Annie Fecteau (A)

Division of General and Thoracic Surgery, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.

Beth Haliburton (B)

Division of General and Thoracic Surgery, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.

Susan M Goobie (SM)

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard University, 300 Longwood Avenue, Boston, MA, 02115, USA.

Gregg Nelson (G)

Department of Oncology, Cumming School of Medicine, University of Calgary, 1403 29 Street NW, Calgary, AB, T2N 2T9, Canada.

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questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Anti-infectieux › Consensus Guidelines for Perioperative Care in...
questionsmedicales.fr › Thérapeutique › Traitement médicamenteux › Prémédication › Antibioprophylaxie › Consensus Guidelines for Perioperative Care in...
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questionsmedicales.fr › Procédures de chirurgie opératoire › Récupération améliorée après chirurgie › Consensus Guidelines for Perioperative Care in...
questionsmedicales.fr › Professions de santé › Médecine › Médecine clinique › Médecine factuelle › Consensus Guidelines for Perioperative Care in...
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