Enhanced Recovery After Surgery (ERAS) Society Recommendations for Neonatal Perioperative Care
Topic overview
ERAS Society developed 16 evidence-based recommendations for perioperative care of surgical neonates in NICUs, covering team communication, fasting protocols, temperature management, antibiotic prophylaxis, ventilation, fluid management, and parental involvement. The guidelines apply across varied surgical pathology during the first 28 days of life.
Key takeaways
- ERAS guidelines for neonates cover 16 recommendations across 11 areas including fasting, temperature, antibiotics, and ventilation.
- Unit-wide ERAS protocols can be applied to all surgical neonates in NICUs regardless of specific surgical pathology.
- Insufficient evidence exists to recommend routine use of nasogastric tubes, Foley catheters, or central lines in neonatal surgery.
- Multidisciplinary consensus (surgeons, anesthesiologists, neonatologists, nurses) drives evidence-based neonatal perioperative care.
- Key focus areas include glucose control, fluid management, transfusion thresholds, early enteral feeds, and parental involvement.
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