Interpretation of Enhanced Recovery After Surgery (ERAS) Society recommendations for neonatal perioperative care_Chinese Journal of Evidence-Based Medicine

Authors：

WANG Ruijuan ¹ , MENG Kun ² ,  ZHANG Chenmei ²

1. International Medical Department, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou 310052, P. R. China;
2. National Clinical Research Center for Child Health, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou 310052, P. R. China;

Corresponding?author：

ZHANG Chenmei, Email: chzcm@zju.edu.cn

Keywords：

Enhanced recovery after surgery; Neonatal; Perioperative care; Guildline interpretation

DOI：

10.7507/1672-2531.202505057

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Neonates represent a unique population with distinct physiological characteristics. The application of Enhanced Recovery After Surgery (ERAS) principles in neonatal care remains in its early developmental stages. In 2024, the ERAS Society published evidence-based perioperative care recommendations tailored for neonates undergoing non-cardiac surgical procedures. These recommendations are intended to be implemented within the Neonatal Intensive Care Units (NICUs). This article provides an interpretation of the guideline, aiming to establish a reference framework for implementing ERAS in neonatal surgical care .

Citation： WANG Ruijuan, MENG Kun, ZHANG Chenmei. Interpretation of Enhanced Recovery After Surgery (ERAS) Society recommendations for neonatal perioperative care. Chinese Journal of Evidence-Based Medicine, 2025, 25(12): 1469-1473. doi: 10.7507/1672-2531.202505057 Copy

1.	Brindle ME, McDiarmid C, Short K, et al. Consensus guidelines for perioperative care in neonatal intestinal surgery: Enhanced Recovery After Surgery (ERAS?) Society recommendations. World J Surg, 2020, 44(8): 2482-2492.
2.	Pilkington M, Nelson G, Pentz B, et al. Enhanced Recovery After Surgery (ERAS) Society recommendations for neonatal perioperative care. JAMA Surg, 2024, 159(9): 1071-1078.
3.	Frykholm P, Disma N, Andersson H, et al. Pre-operative fasting in children: a guideline from the European Society of Anaesthesiology and Intensive Care. Eur J Anaesthesiol, 2022, 39(1): 4-25.
4.	Catania VD, Boscarelli A, Lauriti G, et al. Risk factors for surgical site infection in neonates: a systematic review of the literature and meta-analysis. Front Pediatr, 2019, 7: 101.
5.	Battin M, Jamalpuri V, Bough G, et al. Antibiotic prophylaxis and neonatal surgical site infection. J Paediatr Child Health, 2016, 52(9): 913-914.
6.	Bang SR. Neonatal anesthesia: how we manage our most vulnerable patients. Korean J Anesthesiol, 2015, 68(5): 434-441.
7.	Litman RS, Maxwell LG. Cuffed versus uncuffed endotracheal tubes in pediatric anesthesia: the debate should finally end. Anesthesiology, 2013, 118(3): 500-501.
8.	Fuchs A, Disma N, Virág K, et al. Peri-operative red blood cell transfusion in neonates and infants: neonate and children audit of anaesthesia practice in Europe: a prospective European multicentre observational study. Eur J Anaesthesiol, 2022, 39(3): 252-260.
9.	Parker MG, Stellwagen LM, Noble L, et al. Promoting human milk and breastfeeding for the very low birth weight infant. Pediatrics, 2021, 148(5): e2021054272.
10.	Shang Q, Geng Q, Zhang X, et al. The impact of early enteral nutrition on pediatric patients undergoing gastrointestinal anastomosis a propensity score matching analysis. Medicine (Baltimore), 2018, 97(9): e0045.
11.	Shores DR, Alaish SM, Aucott SW, et al. Postoperative enteral nutrition guidelines reduce the risk of intestinal failure-associated liver disease in surgical infants. J Pediatr, 2018, 195: 140-147.
12.	Craig JW, Glick C, Phillips R, et al. Recommendations for involving the family in developmental care of the NICU baby. J Perinatol, 2015, 35(Suppl 1): S5-S8.

1. Brindle ME, McDiarmid C, Short K, et al. Consensus guidelines for perioperative care in neonatal intestinal surgery: Enhanced Recovery After Surgery (ERAS?) Society recommendations. World J Surg, 2020, 44(8): 2482-2492.
2. Pilkington M, Nelson G, Pentz B, et al. Enhanced Recovery After Surgery (ERAS) Society recommendations for neonatal perioperative care. JAMA Surg, 2024, 159(9): 1071-1078.
3. Frykholm P, Disma N, Andersson H, et al. Pre-operative fasting in children: a guideline from the European Society of Anaesthesiology and Intensive Care. Eur J Anaesthesiol, 2022, 39(1): 4-25.
4. Catania VD, Boscarelli A, Lauriti G, et al. Risk factors for surgical site infection in neonates: a systematic review of the literature and meta-analysis. Front Pediatr, 2019, 7: 101.
5. Battin M, Jamalpuri V, Bough G, et al. Antibiotic prophylaxis and neonatal surgical site infection. J Paediatr Child Health, 2016, 52(9): 913-914.
6. Bang SR. Neonatal anesthesia: how we manage our most vulnerable patients. Korean J Anesthesiol, 2015, 68(5): 434-441.
7. Litman RS, Maxwell LG. Cuffed versus uncuffed endotracheal tubes in pediatric anesthesia: the debate should finally end. Anesthesiology, 2013, 118(3): 500-501.
8. Fuchs A, Disma N, Virág K, et al. Peri-operative red blood cell transfusion in neonates and infants: neonate and children audit of anaesthesia practice in Europe: a prospective European multicentre observational study. Eur J Anaesthesiol, 2022, 39(3): 252-260.
9. Parker MG, Stellwagen LM, Noble L, et al. Promoting human milk and breastfeeding for the very low birth weight infant. Pediatrics, 2021, 148(5): e2021054272.
10. Shang Q, Geng Q, Zhang X, et al. The impact of early enteral nutrition on pediatric patients undergoing gastrointestinal anastomosis a propensity score matching analysis. Medicine (Baltimore), 2018, 97(9): e0045.
11. Shores DR, Alaish SM, Aucott SW, et al. Postoperative enteral nutrition guidelines reduce the risk of intestinal failure-associated liver disease in surgical infants. J Pediatr, 2018, 195: 140-147.
12. Craig JW, Glick C, Phillips R, et al. Recommendations for involving the family in developmental care of the NICU baby. J Perinatol, 2015, 35(Suppl 1): S5-S8.

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Interpretation of Enhanced Recovery After Surgery (ERAS) Society recommendations for neonatal perioperative care

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