Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS
Autor: | Brindle, Mary E., McDiarmid, Caraline, Short, Kristin, Miller, Kathleen, MacRobie, Ali, Lam, Jennifer Y.K., Brockel, Megan, Raval, Mehul V., Harreiter, Alexandra, Kautzky-Willer, A., Damm, P., Mathiesen, E. R., Jensen, D. M., Andersen, L. L., Tanvig, M., Lapolla, A., Dalfra, M. G., Bertolotto, A., Wender-Ozegowska, E., Zawiejska, A., Hill, D. J., Snoek, F. J., Jelsma, J. G.M., Desoye, G., van Poppel, M. N.M. |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Consensus Population MEDLINE Perioperative Care 03 medical and health sciences 0302 clinical medicine Anti-Infective Agents medicine Humans 030212 general & internal medicine education Intensive care medicine Digestive System Surgical Procedures Societies Medical Postoperative Care education.field_of_study Scientific Review Evidence-Based Medicine business.industry Gastroenterology Infant Newborn Foundation (evidence) Guideline Evidence-based medicine Vascular surgery Antibiotic Prophylaxis Systematic review Cardiothoracic surgery 030220 oncology & carcinogenesis Practice Guidelines as Topic Surgery Interdisciplinary Communication Neonatology business Enhanced Recovery After Surgery |
Zdroj: | Paediatrics Publications World Journal of Surgery |
ISSN: | 1432-2323 |
Popis: | 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. |
Databáze: | OpenAIRE |
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