Fast-track concepts in routine pediatric surgery: a prospective study in 436 infants and children

Reismann, Marc; Dingemann, Jens; Wolters, M.; Laupichler, Birgit; Suempelmann, Robert; Ure, Benno M.

doi:10.1007/s00423-008-0440-1

Cited by 74 publications

(65 citation statements)

References 22 publications

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“…Additionally, the correlation between bowel sounds and delayed gastric emptying in the ICU is poor [38]. In the past decade, early rehabilitation after surgery concepts in children has become well established; these include early postoperative feeding [31,32] and they found return of bowel sounds was a poor marker of gut motility. Recommended practice is therefore that bowel sounds should not be used to decide whether to initiate or withhold feeding.…”

Section: Bowel Sounds and The Frequency Of Bowel Movementsmentioning

confidence: 99%

A review of feeding intolerance in critically ill children

Tume

Valla

2018

Eur J Pediatr

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Ensuring optimal nutrition is vital in critically ill children and enteral feeding is the main route of delivery in intensive care. Feeding intolerance is the most commonly cited reason amongst pediatric intensive care unit healthcare professionals for stopping or withholding enteral nutrition, yet the definition for this remains inconsistent, nebulous, and entirely arbitrary. Not only does this pose problems clinically, but research in this field frequently uses feeding intolerance as an endpoint and the heterogeneity in this definition makes the comparison of studies difficult and meta-analysis impossible. We reviewed the use of, and definitions of, the term feed intolerance in pediatric intensive care research papers in the last 20 years. Gastric residual volume remains the most common factor used to define feed intolerance, despite the lack of evidence for this. Healthcare professionals would benefit from further education to improve their awareness of the limitations of the markers to define feeding intolerance, and the international PICU community needs to agree a consistent definition of this phenomenon to improve consistency in both practice and research.Conclusion: This paper will provide a narrative review of the definitions of, evidence for, and markers of feeding intolerance in critically ill children.

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Section: Bowel Sounds and The Frequency Of Bowel Movementsmentioning

confidence: 99%

A review of feeding intolerance in critically ill children

Tume

Valla

2018

Eur J Pediatr

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“…The results of this undertaking are the Enhanced Recovery After Surgery (ERAS) protocols we know today (Table 1). [2][3][4][5][6][7][8][9][10][11][12][13][14] All ERAS protocols typically share the following features:…”

Section: Résumémentioning

confidence: 99%

Inter-device differences in monitoring for goal-directed fluid therapy

Thiele

Bartels

Gan

2014

Can J Anesth/J Can Anesth

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“…Zwischenzeitlich gibt es zahlreiche Publikationen zu diesem Thema, die für das Erwachsenenalter beinahe kritiklos die Vorteile dieser Vorgehensweise darstellen [1,2,4,10,14]. Neben den bekannten ökonomischen Auflagen führ-te der Einfluss gestraffter Ablaufprozesse unzweifelhaft auch in der Kinderchirurgie zu deutlichen Veränderungen, wenn auch die wissenschaftliche Aufarbeitung und Diskussion in der Fachliteratur bislang nur sporadisch erfolgt ist [16,17]. Bei der Literatursuche über Pubmed mit den Stichwörtern "fast track" und "pediatric surgery" wurden lediglich 15 Publikationen zu diesem Thema angezeigt.…”

Section: Fast Track In Der Kinderchirurgieunclassified

“…Die bislang publizierten Fast-Track-Erfahrungen für das Kindesalter haben gezeigt, dass die Methode für einzelne Indikationen durchführbar und sicher ist [16,17,18]. Die Wiederaufnahmeraten waren hierbei sehr gering.…”

Section: Schlussfolgerungenunclassified

Fast Track in der Kinderchirurgie

Holland‐Cunz

Günther

2009

Chirurg

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Fast track protocols are justified for several pediatric surgical procedures. Particular operations on neonates and babies require specialized postoperative care. In these very young patients, no benefit can be expected from rigid fast track concepts. Many workflows in pediatric surgery have already been optimized with a view toward very short hospital stay. The published experiences with fast track protocols in pediatric surgery show that the method is feasible and safe. Complication and readmission rates are very low. Perioperative adjustments, shorter fasting periods, and the use of new analgetics are desirable in pediatric fast track protocols. Particularly for children, customizing protocols to the individual patients' requirements must be guaranteed.

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Fast-track concepts in routine pediatric surgery: a prospective study in 436 infants and children

Abstract: Fast-track concepts are feasible in one third of pediatric patients undergoing routine in-hospital surgery. Fast-track pediatric surgery achieves accelerated convalescence, minimal hospital stay, and high patient and parent satisfaction.

Cited by 74 publications

References 22 publications

A review of feeding intolerance in critically ill children

A review of feeding intolerance in critically ill children

Inter-device differences in monitoring for goal-directed fluid therapy

Fast Track in der Kinderchirurgie

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