The clinical application of enhanced recovery after surgery on pharyngeal surgery in children

• DOI: 10.3760/cma.j.issn.1673-4378.2016.11.006
• Publication Date: 2016-11-15
• Authors: Gang Xu; Rong Zou; Cheng Yang; Fengzhen Yao; Libing Huang; Xiaohong Xu; Qian Wu; Yaomei Cui; Ji Fangbing; Man Zheng; Hongmei Bai

Objective To evaluate the effect of enhanced recovery after surgery(ERAS) on pharyngeal surgery in children.

Methods Sixty childrens aged 6-12 y, scheduled for surgery, were randomly divided into two groups(n=30): group ERAS and conservative treatment group(group CTS). Optimization measures by evidence based medicine preoperative education, anesthetic management postoperative analgesia administered ERAS. Meanwhile, CTS received conventional perioperative care. The hemodynamic index, sedation-agitation scale, VAS scale monitored during awaken from anesthesia 2, 8, 24 h postoperatively. Rescue complications recorded surgery. Hospital stays also observed.

Results There no significant differences index operative time between those groups. Group was associated with a significantly lower scale[(2.41±0.50), (2.48±0.67), (2.39±0.81), (2.33±0.51)], [(3.3±0.5),(3.2±0.5),(3.0±0.6),(2.6±0.9)] shorter hospital stay [(5.5±0.8) d] compared CTS[(3.54±1.01),(3.63±0.92), (3.42±0.32),(3.38±0.20)],[(5.3±0.4), (4.9±0.3), (4.8±0.4), (3.9±0.5)],[(7.1±0.5) d]. ERAS(30%) less rescue than CTS(50%). Incidence rate nausea vomiting ERAS(33.3%) CTS(66.7%).

Conclusions ERAS is feasible effective children, improvements rehabilitation, pain, patients' satisfaction.

Key words: Pediatric anesthesia; Pharyngeal surgery; Enhanced