Enhanced Recovery After Surgery (ERAS) Society Recommendations for Neonatal Perioperative Care
Topic overview
This ERAS Society guideline provides 16 evidence-based recommendations for perioperative care of surgical neonates in NICUs, covering team communication, fasting, temperature management, antibiotics, ventilation, fluid/glucose control, and parental involvement. Developed through modified Delphi consensus by multidisciplinary experts, these unit-wide protocols apply across varied neonatal surgical pathology to standardize care and improve outcomes.
Key takeaways
- ERAS guidelines now exist specifically for neonates in NICUs undergoing major noncardiac surgery during first 28 days of life.
- 16 evidence-based recommendations cover team communication, fasting, temperature, antibiotics, ventilation, fluids, glucose, and feeding.
- Unit-wide ERAS protocols can be applied across varied neonatal surgical pathology to standardize perioperative care.
- Insufficient evidence exists for recommendations on nasogastric tubes, Foley catheters, and central line management in neonates.
- Multidisciplinary consensus (surgeons, anesthesiologists, neonatologists, nurses) drives neonatal ERAS implementation in NICUs.
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