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 

机构地区：[1]Pediatric Surgery,The First People’s Hospital of Liangshan Yi Autonomous Prefecture,Xichang 615000,Sichuan Province,China

出　　处：《World Journal of Clinical Cases》2024年第22期4965-4972,共8页世界临床病例杂志

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

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 improved.AIM To discuss the safety and feasibility of the enhanced recovery after surgery(ERAS)-based management model for ambulatory pediatric surgical procedures.METHODS We selected 320 pediatric patients undergoing ambulatory surgery from June 2023 to January 2024 at The First People’s Hospital of Liangshan Yi Autonomous Prefecture.Of 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 compared.RESULTS The general information of the research group(sex,age,disease type,single parent,family history,etc.)was comparable to that of the control group(P>0.05),but the rate of postoperative(2 h,4 h,and 6 h after surgery)ambulation activities was statistically higher(P<0.01),and operation time,postoperative gastrointestinal ventilation time,and hospital stay were markedly shorter(P<0.05).The research group had lower visual analogue scale scores(P<0.01)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.

关 键 词：Ambulatory pediatric surgery Ambulatory surgery Enhanced recovery after surgery SAFETY FEASIBILITY 

分 类 号：R473.72[医药卫生—护理学]