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These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly, these guidelines should guide care with the understanding that departures from them may be required at times.
Objective of the Care Process Model
The Pectus Excavatum Repair with Bar Placement Enhanced Recovery After Surgery (ERAS) pathway aims to minimize the variation of care for the patient undergoing pectus excavatum repair with bar placement surgery, starting with the Center for Pectus Excavatum and Pectus Carinatum Clinic visit through hospital discharge. This includes optimizing pre-operative nutrition/metabolism, decreasing adverse medication side effects, promoting earlier return of bowel function, improving wound and anastomotic healing, and reducing overall hospitalization length of stay. In the last several decades the application of ERAS principles has shown significant improvements in various surgeries regarding length of stay, opioid use, pain control, and return to diet.
Anesthesiologists; Pediatric surgeons; Nurse practitioners; OR nurses
Children's Mercy Kansas City, "Pectus Excavatum With Bar Placement ERAS" (2023). Clinical Pathways.