ERAS Protocol Components in Pediatric Robotic Surgeries

Preoperative and Postoperative Care

The American Society for Parenteral and Enteral Nutrition recommends reduced fasting times, with solid food fasting limited to 6 hours and clear liquids allowed up to 2 hours before surgery, to reduce recovery times 1
Early oral nutrition should be resumed as soon as possible to aid faster return to normal bowel function, as recommended by the Clinical Nutrition society 1

The World Journal of Emergency Surgery guidelines suggest implementing restricted, balanced, and individualized fluid replacement strategies to prevent fluid overload, as well as administering appropriate antibiotics according to institutional guidelines 2
Deep vein thrombosis prophylaxis should be implemented using age-appropriate mechanical and/or pharmacological methods, as recommended by the World Journal of Emergency Surgery 2

A phased implementation approach, involving a limited number of high-impact components initially, is recommended by the World Journal of Emergency Surgery to facilitate successful protocol adoption 3
Regular audit and feedback are crucial to continuously monitor outcomes and compliance with the protocol, identify areas for improvement, and provide feedback, as suggested by the World Journal of Emergency Surgery 3
The JAMA network open guidelines indicate that ERAS protocols can reduce postoperative complications through standardized, evidence-based care 5
The implementation of ERAS protocols can lead to improved outcomes, including reduced length of stay, decreased opioid use, and fewer complications, as reported by the JAMA network open 6