Consensus Guidelines for Perioperative Care in Neonatal Intestinal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

Infographic · Aug 2020 · 1 min read

In brief

First ERAS Society consensus guidelines for neonatal intestinal surgery, developed through systematic review of 3514 publications and multidisciplinary expert consensus. Seventeen evidence-based recommendations address perioperative care from communication strategies to antibiotic protocols, establishing a framework for enhanced recovery pathways in pediatric surgical specialties.

First ERAS Society guidelines for pediatric surgery, specifically targeting neonatal intestinal resection procedures.
Seventeen evidence-based recommendations developed from systematic review of 3514 publications with multidisciplinary consensus.
Guidelines address perioperative care from communication strategies through antibiotic protocols for neonatal intestinal surgery.
Parental input integrated throughout guideline development process to ensure family-centered care approach.
Framework establishes foundation for future pediatric ERAS guidelines across multiple surgical specialties.

Written by the GCMD Library team from the infographic.

The infographic uses a clean layout with a red header banner and gray iconography. Six key intervention areas are displayed in a grid format with simple illustrations: medication bottles, syringes, a stopwatch with baby bottle, family figures, and breastfeeding imagery. A patient silhouette on the left shows the target population. Icons use red accent colors to highlight key elements.

Background

Enhanced 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.

Methods

A 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.

Results

Final 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.

Discussion

We 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.

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