Implementation of a pediatric enhanced recovery pathway decreases opioid utilization and shortens time to full feeding
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In brief
In brief
Single-institution study demonstrates that implementing an ERAS pathway for pediatric IBD surgery significantly reduces opioid use and accelerates return to oral feeding compared to traditional care. The protocol emphasizes minimal preoperative fasting, multimodal analgesia with regional techniques, and early postoperative nutrition.
Written by the GCMD Library team from the article.
Background
We hypothesized that an enhanced recovery after surgery (ERAS) pathway for pediatric patients undergoing surgery for inflammatory bowel disease (IBD) would be beneficial.
Methods
This is a single institution retrospective comparative study comparing patients treated with an ERAS pathway to consecutive patients in a Preimplementation Cohort (PIC) with similar open and laparoscopic surgeries for IBD. The pathway emphasized minimal preoperative fasting, multimodal and regional analgesia, and early enteral nutrition after surgery. Primary endpoints were time to 120 mL of PO intake (POI), length of stay (LOS), opioid utilization, and 30-day surgical outcomes. Continuous and categorical variables were compared (p