SHM Converge Scientific Abstract ePoster Gallery-Assessing Pediatric Surgeons' Perceptions of the Enhanced Recovery After Surgery (Eras) Pathway

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A survey study at Children’s Hospital Colorado assessed pediatric surgical providers’ perceptions of the Enhanced Recovery After Surgery (ERAS) pathway, with a particular focus on expanding ERAS use for medically complex patients on the surgical co-management team.<br /><br />The team designed a 35-question REDCap survey and sent it to all pediatric surgical providers, including attending surgeons, APPs, and trainees. The survey was open for 48 days in spring 2024, with four reminder emails sent. The response rate was 102 of 345 providers (30%). Respondents were mainly orthopedic and general pediatric surgeons, with attendings and APPs representing the largest groups.<br /><br />Overall, surgeons were supportive of ERAS. Most respondents favored both implementing and standardizing the pathway, and there was especially strong support for postoperative ERAS elements on the surgical co-management inpatient team. Among those not currently using ERAS, 58% were pretty or very willing to implement the complete pathway. Among those already using some ERAS elements, 77% were pretty or very willing to standardize the complete pathway.<br /><br />However, familiarity with ERAS was limited and emerged as a major barrier. About 24% had never heard of ERAS, 42% had only heard of it or were somewhat familiar, and 36% were pretty or very familiar. The top barriers to implementation were lack of familiarity with the pathway, difficulty initiating it or knowing how to implement it, and lack of consensus among surgeons. For standardization, the main barriers were lack of surgeon consensus, uncertainty about how to standardize the different elements, and resistance to changing traditional practices.<br /><br />In conclusion, pediatric surgeons generally support ERAS, but better education, consensus-building, and implementation support are needed. These findings will help guide collaboration across surgical subspecialties to expand ERAS, especially for medically complex children.

Asset Subtitle

Rachita Gupta

Meta Tag

Author List Jason Zamkoff, Kyle O. Rove, Mark Brittan, Rachel Torry, Rachita Gupta, Sonja I. Ziniel

Category Research

Concept Enhanced Recovery After Surgery

Concept Pediatric Surgery

Concept Familiarity

Concept Implementation Barriers

Concept Knowledge Deficit

Distinguished Non-Finalist

Presenter Organization Children's Hospital Colorado, University of Colorado School of Medicine

Presenting Author Rachita Gupta

Track Perioperative

Keywords

Enhanced Recovery After Surgery

ERAS

pediatric surgery

survey study

Children's Hospital Colorado

surgical co-management

medically complex patients

implementation barriers

surgeon consensus

standardization

Enhanced Recovery After Surgery

Pediatric Surgery

Familiarity

Implementation Barriers

Knowledge Deficit