Pediatric anesthesia & critical care

Enhanced Recovery after Surgery (ERAS) in Pediatric Cardiac Surgery: Status Quo of Implementation in Europe

J Cardiothorac Vasc AnesthPublished Cross-sectional study

Authors' conclusion

This European survey revealed that implementation of ERAS concepts in pediatric cardiac surgery is generally low, with considerable heterogeneity in clinical practice regarding the timing of extubation, the choice of surgical procedures triggering on-table extubation, the choice of anesthetic drugs and the use of regional anesthesia.

Study context

Population
Anesthesiologists of European pediatric cardiac surgical centersof 98 centers
Participants
42 participants
Outcome
ERAS implementation
Methodological detailsprospective, 79-item web-based survey, endorsed by the European Association of Cardiothoracic Anesthesiology and Intensive Care, 8 responses excluded (incomplete forms or non-European location); 42 responses (42.9%) analysed
  • Prospective
  • 79-item web-based survey
  • Endorsed by the European Association of Cardiothoracic Anesthesiology and Intensive Care
  • 8 responses excluded (incomplete forms or non-European location); 42 responses (42.9%) analysed

Main finding

As reported in the abstract

Centers following an ERAS concept

16

38.1%

ERAS concept formalized in a written document covering the entire perioperative period

3

7.1%

ERAS concept formalized solely for the intraoperative period

13

31%

Observational data: associations, not effects.

Further findings

Regional and local anesthesia

Centers regularly practising RA blocks
13 (31%)
Centers using wound infiltration by the surgical team
11 (26.2%)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Enhanced Recovery after Surgery (ERAS) in Pediatric Cardiac Surgery: Status Quo of Implementation in Europe. J Cardiothorac Vasc Anesth. Published 11 October 2024. doi:10.1053/j.jvca.2024.10.005

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