Evidence map›Paper›PMID 42081132›Full record

ArticlePediatric surgery international2026

Implementation of enhanced recovery after surgery (ERAS) protocols for paediatric laparoscopic surgery: a single-center experience.

Shreya Shah, Rashmi Ramachandran, Vishesh Jain, Anjan Dhua, Rajeshwari Subramaniam, Parmeet Kaur, Vimi Rewari

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Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shreya ShahDepartment of Anaesthesiology, Pain Medicine and Critical care, All India Institute of Medical Sciences, Teaching block, Room no. 5011, New Delhi, 110029, India. shreyabs@hotmail.com.
Rashmi RamachandranDepartment of Anaesthesiology, Pain Medicine and Critical care, All India Institute of Medical Sciences, Teaching block, Room no. 5011, New Delhi, 110029, India.
Vishesh JainDepartment of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Anjan DhuaDepartment of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Rajeshwari SubramaniamDepartment of Anaesthesiology, Pain Medicine and Critical care, All India Institute of Medical Sciences, Teaching block, Room no. 5011, New Delhi, 110029, India.
Parmeet KaurDepartment of Dietetics, All India Institute of Medical Sciences, New Delhi, 110029, India.
Vimi RewariDepartment of Anaesthesiology, Pain Medicine and Critical care, All India Institute of Medical Sciences, Teaching block, Room no. 5011, New Delhi, 110029, India.

Funding

All India Institute of Medical Sciences, New Delhi, India Intramural funds- Project code: A - 922
6 · The paper itself

Abstract

purposeImplementation of Enhanced Recovery After Surgery (ERAS) protocols in paediatric surgery remains limited, despite proven benefits in adults. The barriers to implementation and protocol modifications requires comprehensive detailing in paediatrics. We aimed to determine the practicality and safety of ERAS in paediatric laparoscopies at a tertiary-care center, addressing the context-specific barriers.

methodsThis was a prospective, single-arm, preliminary study. One hundred thirty-six children, aged 2-14 years, undergoing laparoscopy were enrolled. ERAS elements were implemented perioperatively. The outcomes analysed included protocol compliance, length of hospital stay (LOS), 30-day complications, readmission and mortality rates. The challenges to implementation were noted.

resultsOverall protocol compliance was 82.5 ± 12.4%. There was a significant correlation between adherence to components and LOS (r=-0.642 ; p < 0.01). Time to start liquids/solids and drain removal showed a significant correlation with LOS. No complications and 30-day readmissions were directly attributable to the fast-track concepts. There was no mortality. Key challenges included infrastructure, parental anxiety regarding early discharge and persistently motivating stakeholders to adhere the protocol.

conclusionImplementing paediatric ERAS protocol is safe and feasible within a tertiary health-setting. A high degree of multidisciplinary commitment can successfully overcome the unique logistic and cultural barriers with an accelerated convalescence.

Indexed as

Enhanced Recovery After SurgeryLaparoscopyAdolescentChildChild, PreschoolClinical ProtocolsFemaleGuideline AdherenceHumansLength of StayMalePatient ReadmissionPostoperative ComplicationsProspective StudiesChallengesEnhanced recovery after surgeryLaparoscopyOutcome assessmentPaediatrics

Identifiers

PMID42081132

What OpenQuestion holds

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Registered trials

None linked

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.