ERAS Protocol for Pediatric Laparoscopic Cholecystectomy Promotes Safe and Early Discharge
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Read the article on jpedsurg.org ↗Article · Nov 2019 · 1 min read
In brief
In brief
Implementation of an Enhanced Recovery After Surgery (ERAS) protocol for pediatric laparoscopic cholecystectomy dramatically increased same-day discharge rates from 1.9% to 77.2% while maintaining safety. The protocol standardized pre-, peri-, and postoperative management to reduce hospital stays without compromising outcomes.
Written by the GCMD Library team from the article.
Purpose
Elective laparoscopic cholecystectomy (LC) pediatric patients in our institution have historically been admitted for an overnight hospital stay (OHS). The purpose of this study was to implement an ERAS protocol for elective LC in pediatric patients to promote same-day discharge (SDD) while maintaining excellent outcomes.
Methods
An ERAS protocol for elective LC was implemented encompassing pre-, peri-, and postoperative management. A retrospective review of prospectively collected data from patients before (BI) and after implementation (AI) of the protocol was performed.
Results
A total of 250 patients (BI 105, AI 145) were included in the study. The AI group had significantly higher rate of SDD compared to BI (77.2% vs. 1.9%, p