Utilization of Enhanced Recovery After Surgery (ERAS) protocol in pediatric laparoscopic sleeve gastrectomy: a quality improvement project
Topic overview
This quality improvement study demonstrates successful implementation of a comprehensive ERAS protocol for adolescents undergoing laparoscopic sleeve gastrectomy, incorporating carbohydrate loading, multimodal analgesia with intraoperative lidocaine infusion, and early mobilization. Results showed significantly reduced hospital length of stay, faster time to oral intake, and decreased anti-emetic use without increased complications.
Key takeaways
- ERAS protocol in pediatric LSG reduced hospital stay from 54 to 33 hours without increasing complications or readmissions.
- Early oral intake achieved at 3 hours post-op vs 5.5 hours pre-ERAS, with 50% reduction in rescue anti-emetic requirements.
- Comprehensive ERAS elements including carbohydrate loading, lidocaine infusion, and multimodal analgesia are feasible in adolescent bariatric surgery.
- Adult ERAS protocols can be successfully adapted for pediatric metabolic and bariatric surgery populations.
- Opioid consumption and pain scores remained unchanged, suggesting ERAS benefits derive from anti-emetic control and early mobilization.
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How to cite: GlobalCastMD. Utilization of Enhanced Recovery After Surgery (ERAS) protocol in pediatric laparoscopic sleeve gastrectomy: a quality improvement project. GlobalCastMD Medical Library. 2024-11-07. https://dev.library.globalcastmd.com/article/9397?via_space=staycurrentmd
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