Enhancing recovery in pediatric major abdominal surgery: a narrative review of the literature

  • Alexander Trujillo-Mejía a. Postgraduate in Anesthesiology Universidad de Caldas, Manizales, Colombia. b. Program of Medicine, Universidad de Manizales, Manizales, Colombia. c. Hospital Infantil Rafael Henao Toro, Manizales, Colombia
  • Lorena Zapata-Contreras Servicios Especiales de Salud (S.E.S.), Hospital de Caldas, Manizales, Colombia
  • Lina Paola Melo-Aguilar a. Postgraduate in Anesthesiology Universidad de Caldas, Manizales, Colombia. b. Hospital Infantil Rafael Henao Toro, Manizales, Colombia
  • Leonardo Fabio Gil-Montoya Pediatric Surgery, Universidad de Antioquia, Medellín, Colombia
Keywords: Pediatric surgery, Recovery, Anesthesia



Enhanced recovery after surgery (ERAS) programs in adults have positively impacted morbidity, mortality, and healthcare costs. Its effects on the pediatric population is recognized.


To prepare a narrative review on the current evidence of the various strategies within the framework of enhancing recovery after pediatric surgery, in the context of major abdominal surgery.


A search was conducted on the scientific evidence available in databases (Pubmed/Medline, Science Direct, OVID, SciELO), in order to prepare a narrative literature review.


Notwithstanding the limited evidence on the practicality of the ERAS protocols in the pediatric population undergoing major abdominal surgery, better results could be accomplished if these strategies are adopted.


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2. Casans Francés R, Ripollés Melchor J, Abad-Gurumeta A, et al. The role of the anaesthesiologist in enhanced recovery programs. Rev Española Anestesiol Reanim (English Edition) 2016;63:273-288.

3. George JA, Koka R, Gan TJ, et al. Review of the enhanced recovery pathway for children: perioperative anesthetic considerations. Can J Anesth 2018;65:569-577.

4. Short HL, Heiss KF, Burch K, et al. Implementation of an enhanced recovery protocol in pediatric colorectal surgery. J Pediatr Surg 2018;53:688-692.

5. Elhassan A, Ahmed A, Awad H, et al. The evolution of surgical enhanced recovery pathways: a review. Curr Pain Headache Rep 2018;22:74.

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12. Cordero Castro S. Benefits and risks of preoperative bowel cleansing in the pediatric population. Enfermería Actual de Costa Rica 2013;1-9.

13. Aldrink JH, McManaway C, Wang W, et al. Mechanical bowel preparation for children undergoing elective colorectal surgery. J Pediatr Gastroenterol Nutrit 2015;60:503-507.

14. Serrurier K, Liu J, Breckler F, et al. A multicenter evaluation of the role of mechanical bowel preparation in pediatric colostomy takedown. J Pediatr Surg 2012;47:190-193.

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40. Sener M, Kocum A, Caliskan E, et al. Administration of paraceta-mol versus dipyrone by intravenous patient-controlled analgesia for postoperative pain relief in children after tonsillectomy. Braz J Anesthesiol 2015;65:476-482.

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42. Baxter KJ, HaflingJ, Sterner J, et al. Effectiveness of gabapentin as a postoperative analgesic in children undergoing appendectomy. Pediatr Surg Int 2018;34:769-774.

43. Bayter-Marín JE, Rubio J, Valedón A, et al. Hypothermia in elective surgery: the hidden enemy. Col J Anesthesiol 2017;45:48-53.

44. Hahn RG. Fluid therapy might be more difficult than you think. Anesth Analg 2007;105:304-305.

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50. Höhne C. Postoperative nausea and vomiting in pediatric anesthesia. Curr Opin Anaesthesiol 2014;27:303-308.
How to Cite
Trujillo-Mejía A, Zapata-Contreras L, Melo-Aguilar LP, Gil-Montoya LF. Enhancing recovery in pediatric major abdominal surgery: a narrative review of the literature. Colomb. J. Anesthesiol. [Internet]. 2020 Jan. 1 [cited 2024 Jul. 25];48(1):30-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/135


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How to Cite
Trujillo-Mejía A, Zapata-Contreras L, Melo-Aguilar LP, Gil-Montoya LF. Enhancing recovery in pediatric major abdominal surgery: a narrative review of the literature. Colomb. J. Anesthesiol. [Internet]. 2020 Jan. 1 [cited 2024 Jul. 25];48(1):30-7. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/135
Narrative review


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