Safety and feasibility of enhanced recovery after surgery-based management model for ambulatory pediatric surgical procedures

作     者：Gui-Quan Fan Xin-Dan Zhang Yong-Ke He Xiao-Gang Lu Ji-Yong Zhong Zong-Yang Pang Xi-Yang Gan 

作者机构：Pediatric SurgeryThe First People’s Hospital of Liangshan Yi Autonomous PrefectureXichang 615000Sichuan ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2024年第12卷第22期

页      面：4965-4972页

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：Supported by Liangshan Prefecture Science Research Development Promotion and Application Project Application Form No.17yyjs0011 

主　　题：Ambulatory pediatric surgery Ambulatory surgery Enhanced recovery after surgery Safety Feasibility 

摘      要：BACKGROUND There is still some room for optimizing ambulatory pediatric surgical procedures,and the preoperative and postoperative management quality for pediatric patients needs to be *** To discuss the safety and feasibility of the enhanced recovery after surgery(ERAS)-based management model for ambulatory pediatric surgical *** We selected 320 pediatric patients undergoing ambulatory surgery from June 2023 to January 2024 at The First People’s Hospital of Liangshan Yi Autonomous *** these,220 received ERAS-based management(research group)and 100 received routine management(control group).General information,postoperative ambulation activities,surgical outcomes(operation time,postoperative gastro-intestinal ventilation time,and hospital stay),postoperative pain visual analogue scale,postoperative complications(incision infection,abdominal distension,fever,nausea,and vomiting),and family satisfaction were *** The general information of the research group(sex,age,disease type,single parent,family history,etc.)was comparable to that of the control group(P0.05),but the rate of postoperative(2 h,4 h,and 6 h after surgery)ambulation activities was statistically higher(P0.01),and operation time,postoperative gastrointestinal ventilation time,and hospital stay were markedly shorter(P0.05).The research group had lower visual analogue scale scores(P0.01)at 12 h and 24 h after surgery and a lower incidence of total postoperative complications than the control group(P=0.001).The research group had higher family satisfaction than the control group(P=0.007).CONCLUSION The ERAS-based management model was safe and feasible in ambulatory pediatric surgical procedures and worthy of clinical promotion.