الفهرس 
Introduction and RationaleOnly 14 pages are availabe for public view
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Abstract
Enhanced recovery after surgery (ERAS) is a multimodal integrated, multidisciplinary approach to the care of the surgical patients which aims to maintain physiological homeostasis and decrease perioperative stress.
Children experience more complicated surgical stress responses than do adults so this intervention may results in decreased complications, quicker return to baseline function and secondarily results in a shorter postoperative length of stay for patients. By shortening LOS, surgical bed capacity is increased, while reducing in-hospital costs associated with additional postoperative days in the hospital.
Therefore the current study was conducted to prospectively assess the quality of ERAS program in pediatric population undergoing palato-facial, abdominal, urological and colorectal surgeries in comparison to conventional methods.
This study was a prospective randomized comparative trial that included 54 pediatric patients who underwent palate-facial, abdominal, urological, and colorectal surgeries at Suez Canal University Hospitals in Ismailia. According to followed perioperative protocol patients were assigned randomly to conventional group or ERAS group (each group included 27 children).
We investigated the effect of applying Enhanced Recovery After Surgery (ERAS) Program in pediatric population compared to conventional methods in a randomized interventional design. Our primary objective was to compare the length of hospital stay in both groups. We found that patients in the ERAS group stayed a statistically significant shorter time in hospital compared to the conventional group (P=0.042).
Additionally, intra-operative fentanyl boluses were given only 7.4% of ERAS patients which was significantly less than the percentage of patients in conventional group (70.4%) (P0.035).
Inclusion criteria were: Pediatric patients of both sex, age from 0- 12 years,