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Consensus-based eligibility criteria and component definitions for neonatal and infant enhanced recovery pathway: a multidisciplinary delphi study.

Research paperJournal of Perinatology2026Full text
  • Allied health
  • Bowel obstruction
  • Enteral feeding
  • Medical
  • Nursing
  • Nutrition and gastrointestinal
  • Quality improvement
  • Surgical conditions

Summary

This multidisciplinary modified Delphi study sought to clarify eligibility criteria and component definitions for an enhanced recovery pathway for neonates and infants undergoing gastrointestinal surgery, building on the 2020 ERAS neonatal intestinal surgery guidelines. Stakeholders from six paediatric hospitals, including surgeons, anaesthetists, neonatologists, nurses, dietitians, quality improvement specialists and parents, took part. Consensus supported inclusion of infants born at or above 32 weeks' gestation or 1.5 kg undergoing elective or semi-urgent gastrointestinal surgery, and defined 19 pathway components. The work aims to support implementation and adoption of enhanced recovery in neonatal surgery.

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