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BROGGI, Andrés; ILLESCAS, María Laura; PACHECO, Héctor  and  JUAMBELTZ, Carlos. Enhanced Recovery After Surgery Pathways. Adaptation to Pediatric Surgery. Anfamed [online]. 2018, vol.5, n.2, pp.29-62. ISSN 2301-1254.

Two major changes have improved anesthetic-surgical outcomes in recent decades. Minimally invasive surgery (CMI) and perioperative multidisciplinary care incorporating evidence-based medicine. Traditionally, surgeons, anesthesiologists and nurses have paid attention to individual experiences. Improved recovery pathways ERAS (Enhanced Recovery After Surgery) represent a paradigm shift of traditional care, seeking to integrate multiple individual elements of perioperative care, as well as the commitment of patients and caregivers to better understand the recovery process. By taking advantage of the achievements of the CMI techniques with the ERAS pathways, the objective was to further improve recovery, reduce complications and reduce variability in practice, which in turn would be reflected in a shorter hospital stay with less healthcare costs. The development of the improved recovery path does not consist of creating new hypotheses for better care, but rather in the organization of the best available scientific evidence, which helps to standardize care through a practice, institution or professional society.

In the following bibliographical review, we look for the approach from the point of view of pediatric surgery, which presents more and more interest in this type of care.

Keywords : Enhanced Recovery after Surgery; ERAS; anesthetic-surgical.

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