Development of an Enhanced Recovery Program in Pediatric, Adolescent, and Young Adult Surgical Oncology Patients
Enhanced recovery after surgery (ERAS) protocols are standardized perioperative treatment plans aimed at improving recovery time in patients following surgery using a multidisciplinary team approach. These protocols have been shown to optimize pain control, improve mobility, and decrease postoperati...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/8/12/1154 |
| _version_ | 1797505825383645184 |
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| author | Stephanie J. Wells Mary Austin Vijaya Gottumukkala Brittany Kruse Lauren Mayon Ravish Kapoor Valerae Lewis Donna Kelly Alexander Penny Brent Braveman Eliana Shkedy Rebekah Crowder Karen Moody Maria C. Swartz |
| author_facet | Stephanie J. Wells Mary Austin Vijaya Gottumukkala Brittany Kruse Lauren Mayon Ravish Kapoor Valerae Lewis Donna Kelly Alexander Penny Brent Braveman Eliana Shkedy Rebekah Crowder Karen Moody Maria C. Swartz |
| author_sort | Stephanie J. Wells |
| collection | DOAJ |
| description | Enhanced recovery after surgery (ERAS) protocols are standardized perioperative treatment plans aimed at improving recovery time in patients following surgery using a multidisciplinary team approach. These protocols have been shown to optimize pain control, improve mobility, and decrease postoperative ileus and other surgical complications, thereby leading to a reduction in length of stay and readmission rates. To date, no ERAS-based protocols have been developed specifically for pediatric patients undergoing oncologic surgery. Our objective is to describe the development of a novel protocol for pediatric, adolescent, and young adult surgical oncology patients. Our protocol includes the following components: preoperative counseling, optimization of nutrition status, minimization of opioids, meticulous titration of fluids, and early mobilization. We describe the planning and implementation challenges and the successes of our protocol. The effectiveness of our program in improving perioperative outcomes in this surgical population could lead to the adaptation of such protocols for similar populations at other centers and would lend support to the use of ERAS in the pediatric population overall. |
| first_indexed | 2024-03-10T04:23:52Z |
| format | Article |
| id | doaj.art-5fa045286f3144e5828443a8e11d43b7 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T04:23:52Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-5fa045286f3144e5828443a8e11d43b72023-11-23T07:42:42ZengMDPI AGChildren2227-90672021-12-01812115410.3390/children8121154Development of an Enhanced Recovery Program in Pediatric, Adolescent, and Young Adult Surgical Oncology PatientsStephanie J. Wells0Mary Austin1Vijaya Gottumukkala2Brittany Kruse3Lauren Mayon4Ravish Kapoor5Valerae Lewis6Donna Kelly7Alexander Penny8Brent Braveman9Eliana Shkedy10Rebekah Crowder11Karen Moody12Maria C. Swartz13Department of Pediatrics Research, Division of Pediatrics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USAInstitute for Cancer Care Innovation, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Orthopaedic Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Rehabilitation Services, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Orthopaedic Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Rehabilitation Services, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Clinical Nutrition, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Clinical Nutrition, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Patient Care, Division of Pediatrics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Pediatrics Research, Division of Pediatrics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USAEnhanced recovery after surgery (ERAS) protocols are standardized perioperative treatment plans aimed at improving recovery time in patients following surgery using a multidisciplinary team approach. These protocols have been shown to optimize pain control, improve mobility, and decrease postoperative ileus and other surgical complications, thereby leading to a reduction in length of stay and readmission rates. To date, no ERAS-based protocols have been developed specifically for pediatric patients undergoing oncologic surgery. Our objective is to describe the development of a novel protocol for pediatric, adolescent, and young adult surgical oncology patients. Our protocol includes the following components: preoperative counseling, optimization of nutrition status, minimization of opioids, meticulous titration of fluids, and early mobilization. We describe the planning and implementation challenges and the successes of our protocol. The effectiveness of our program in improving perioperative outcomes in this surgical population could lead to the adaptation of such protocols for similar populations at other centers and would lend support to the use of ERAS in the pediatric population overall.https://www.mdpi.com/2227-9067/8/12/1154enhanced recoverypediatricscancersurgical oncologypain management |
| spellingShingle | Stephanie J. Wells Mary Austin Vijaya Gottumukkala Brittany Kruse Lauren Mayon Ravish Kapoor Valerae Lewis Donna Kelly Alexander Penny Brent Braveman Eliana Shkedy Rebekah Crowder Karen Moody Maria C. Swartz Development of an Enhanced Recovery Program in Pediatric, Adolescent, and Young Adult Surgical Oncology Patients Children enhanced recovery pediatrics cancer surgical oncology pain management |
| title | Development of an Enhanced Recovery Program in Pediatric, Adolescent, and Young Adult Surgical Oncology Patients |
| title_full | Development of an Enhanced Recovery Program in Pediatric, Adolescent, and Young Adult Surgical Oncology Patients |
| title_fullStr | Development of an Enhanced Recovery Program in Pediatric, Adolescent, and Young Adult Surgical Oncology Patients |
| title_full_unstemmed | Development of an Enhanced Recovery Program in Pediatric, Adolescent, and Young Adult Surgical Oncology Patients |
| title_short | Development of an Enhanced Recovery Program in Pediatric, Adolescent, and Young Adult Surgical Oncology Patients |
| title_sort | development of an enhanced recovery program in pediatric adolescent and young adult surgical oncology patients |
| topic | enhanced recovery pediatrics cancer surgical oncology pain management |
| url | https://www.mdpi.com/2227-9067/8/12/1154 |
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