Quick Literature Updates Episode 18

The ERAS Society used a modified Delphi technique to develop recommendations for neonatal perioperative care, requiring more than 70% consensus from a multidisciplinary group of experts.

The ERAS Society agreed on 16 recommendations covering 11 topics including team communication, pre-surgery fasting, temperature control, and antibiotic use for neonatal surgical patients.

The ERAS Society did not have enough data to make recommendations about nasogastric tubes and central lines in neonatal surgical care.

A systematic review found 8 studies examining transition from pediatric to adult healthcare for colorectal conditions.

Studies on transition care for colorectal conditions agreed that transitional care should start early in adolescence.

Studies found little evidence that transfer from pediatric to adult care for colorectal conditions is happening in a coordinated or timely fashion.

No models of transition care were identified for children with anorectal malformations and Hirschsprung disease transitioning to adult care.

A retrospective cohort study of CPAM included 110 patients comparing outcomes based on timing of surgery relative to symptom onset.

Patients with CPAM who underwent surgery before becoming symptomatic had shorter length of stay compared to those operated after symptom onset.

Patients with CPAM who underwent surgery before becoming symptomatic had shorter mechanical ventilation time after surgery compared to those operated after symptom onset.

Patients with CPAM who underwent surgery before becoming symptomatic had shorter operating times compared to those operated after symptom onset.

In the CPAM study, there was no significant difference in conversion rates or post-operative complications between patients operated before versus after symptom onset.

The CPAM study findings suggest it is safer to operate these patients before they become symptomatic.