Enhanced Recovery After Surgery (ERAS) for Postoperative Pediatric Surgical Disorders
Avoidance of prolonged fasting: General fasting standards were 2 h for clear fluids, 4 h for breast milk, 6 h for nonhuman milk/cow milk and solid substances, and 8 h for meat/fried or fatty foods. However, the Japanese guideline does not clearly show fasting time.
Nonroutine use of tubes and drains: The non-drainage patients after large volume intraperitoneal lavage for perforated appendicitis were found to have a faster postoperative recovery. Reasons given were a control of bacterial proliferation due to physical reduction in intraperitoneal bacteria count and faster wound healing since a drainage tube is not inserted.
Early oral nutrition and mobilization: Postoperative management for infants has changed from intravenous nutrition to early oral nutrition. We describe about dietary fiber as important nutrient.
- 2.American Society of Anesthesiologists Committee. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists committee on standards and practice parameters. Anesthesiology. 2011;11:495–511.Google Scholar
- 4.Royal College of Nursing. Perioperative fasting in adults and children: an RCN guideline for the multidisciplinary team. London: Royal College of Nursing; 2005. p. 1–18.Google Scholar
- 8.Guidelines from Japanese Society of Anesthesiologists. 2012. http://www.anesth.or.jp/guide/pdf/guideline-zetsuinshoku.pdf.
- 9.Brady M, Kinn S, Ness V, et al. Preoperative fasting for preventing perioperative complications in children. Cochrane Database Syst Rev. 2009;7:CDOO5285.Google Scholar
- 14.Toki A, Watanabe Y, Sasaki K, Wang ZQ. The role of dietary fiber in chemically defined diets. Jpn J Pediatr Surg. 1999;31:678–83.Google Scholar