Enhanced Recovery After Surgery (ERAS) is a modern, evidence-based approach designed to help patients recover faster and more safely after surgery. Originally developed for adults, ERAS principles are now increasingly applied in pediatric surgery, improving outcomes and reducing hospital stay.
In children, ERAS is not just about faster recovery — it is about reducing stress, pain, and fear, while ensuring optimal physical and emotional well-being.
ERAS is a multidisciplinary perioperative care pathway involving surgeons, anesthesiologists, nurses, and caregivers. It focuses on optimizing the child’s condition before, during, and after surgery.
Key Components of ERAS in Children
1. Preoperative Care
- Proper counseling of parents and child
- Avoid prolonged fasting (clear fluids allowed up to 3 hours before surgery)
- Nutritional optimization
- Reducing anxiety (child-friendly environment)
2. Intraoperative Care
- Minimal invasive surgery (laparoscopy whenever possible)
- Optimal anesthesia and pain control
- Maintaining body temperature
- Avoiding unnecessary tubes and drains
3. Postoperative Care
- Early feeding (as soon as safe)
- Early mobilization
- Multimodal pain management (less opioid use)
- Early removal of IV lines and catheters
Benefits of ERAS in Pediatric Surgery
Faster recovery, Shorter hospital stay, Less postoperative pain, Lower complication rates, Reduced psychological stress for child and parents,
Optimisation of peri operative care can fasten child’s recovery after surgery
Early return to normal activities
Why ERAS is Important for Children
Children are not small adults. They have different physiological and emotional needs. ERAS protocols are tailored to ensure:
- Minimal trauma
- Better pain control
- Reduced fear and anxiety
- Improved long-term physical and mental outcomes
Role of Parents
Parents play a crucial role in ERAS:
- Understanding the treatment plan
- Encouraging early feeding and mobilization
- Providing emotional support
ERAS represents a paradigm shift in pediatric surgical care. By combining modern surgical techniques with optimized perioperative care, it ensures that children recover faster, safer, and with less stress.
Dr. Md Samiul Hasan
Associate Professor (Pediatric Surgery)
Neonatal & Pediatric Surgery and Pediatric Urology Specialist
📞 01720422448 | 01712886034
🌐 www.drsamiulhasan.com