Perioperative medicine & outcomes
The implementation of a pectus bar insertion enhanced recovery after surgery pathway: A quality improvement initiative
Authors' conclusion
Employing a multidisciplinary approach in both planning and execution that standardized clinician practices and minimized unnecessary variation in patient care, an ERAS pathway for pectus bar insertion has been successfully established at our institution.
Study context
- Population
- Patients undergoing pectus excavatum repair (pectus bar insertion)first 50 patients post-implementation
- Comparison
- Enhanced recovery after surgery (ERAS) pathway vs baseline
- Outcome
- Compliance with perioperative bundle elements (SMART aim >70%)
- Follow-up
- Within 1 year of the pathway implementation
Methodological detailsPlan-Do-Study-Act cycles, multidisciplinary, before-after
- Plan-Do-Study-Act cycles
- Multidisciplinary
- Before-after
Main finding
As reported in the abstract
Compliance with perioperative bundle elements
Post-intervention
90%
Further findings
h
- Mean LOS before ERAS pathway
- 33 (95% CI [28.76, 37.31])
- Mean LOS after ERAS pathway
- 18 (95% CI [14.54, 21.70])
- Significantly decreased
Safety
Readmissions within 24 hours in patients discharged on the day of surgery
- Readmissions within 24 hours, same-day discharges, after ERAS pathway
- 0
Original publication
The implementation of a pectus bar insertion enhanced recovery after surgery pathway: A quality improvement initiative. Paediatr Anaesth. Published 13 January 2024. doi:10.
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