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Review
. 2025 Jun 1;38(3):267-271.
doi: 10.1097/ACO.0000000000001486. Epub 2025 Mar 25.

Pediatric enhanced recovery after surgery (ERAS): Advancements and outcomes in the last 5 years

Megan A Brockel  1 , Vidya T Raman  2
Affiliations
Review

Pediatric enhanced recovery after surgery (ERAS): Advancements and outcomes in the last 5 years

Megan A Brockel et al. Curr Opin Anaesthesiol. .

Abstract

Purpose of review: The aim is to describe recent advances in pediatric enhanced recovery after surgery (ERAS) in all phases of care as well as the outcomes and impact of recent evidenced-based pathways in pediatric patients.

Recent findings: While profoundly impactful in the care of adult patients for nearly 3 decades, ERAS had a slower start in pediatric care that began approximately 10 years ago. Early outcomes were promising, and the multidisciplinary approach to perioperative care has gained momentum, with recent single-center studies of ERAS for pediatric patients showing reductions in both complications and length of stay. The first ERAS Society recommendations for pediatric patients were published in 2024, and two multicenter trials of pediatric ERAS, Pediatric urology recovery after surgery endeavor and ENhanced Recvovery in CHildren Undergoing Surgery (ENRICH-US), have completed enrollment and are expected to publish results in 2025.

Summary: ERAS in pediatric practice has made great strides in the past 5 years and has led to improved outcomes for young patients. Multicenter trial outcomes and the development of additional rigorous ERAS Society recommendations for children will guide future care.

Keywords: enhanced recovery after surgery; multimodal analgesia; pediatric.

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References

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