ArticleSurgical neurology international2025
Pilot enhanced recovery after surgery protocol: Cranial vault remodeling for craniosynostosis.
Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Enhanced recovery after surgery (ERAS) protocols are standardized procedural guidelines proven to decrease hospital stay and postoperative narcotic use and improve overall patient experience. There is no existing ERAS protocol for open cranial vault remodeling (CVR) in the pediatric population. We believe that CVR is one such surgery meriting an ERAS protocol given its multidisciplinary and longitudinal treatment course. Such protocol is of particular interest in San Bernardino County, where the vast geographic area and wide socioeconomic spectrum result in unique barriers to healthcare accessibility that favor open remodeling over endoscopic approaches. Methods: The primary purpose of an ERAS protocol is to minimize both psychological and physiologic stress associated with a given procedure. This can be targeted at various phases of the patient encounter, including the preoperative, intraoperative, and postoperative stages. Here, we introduce our pilot protocol for ERAS implemented at Loma Linda University Children's Hospital (LLUCH) starting since 2018. Results: Our CVR process begins at the craniofacial clinic, where interdisciplinary chart and imaging review ensure appropriate patient enrollment and clinical service engagement. Day of surgery checklists ensure standardized preoperative cleansing, fasting, and laboratory criteria. Intraoperative guidelines facilitate interdisciplinary transparency regarding antibiotics, blood transfusions, fluid status, pain control, and tranexamic acid and mannitol administration. Standardized postoperative criteria dictate progression through the intensive care unit through to discharge. Conclusion: Retrospective chart review will compare LLUCH outcomes to those reflected in the National Surgical Quality Improvement Program. We hope to demonstrate that the CVR process at LLUCH is comparable to the national average and that implementation of a standardized ERAS protocol can significantly improve clinical and social outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.