ERAS in Tonsil Adenoid Surgery in Children

Abstract Backgroud: Enhanced Recovery after Surgery (ERAS) is more and more widely used in pediatric surgery. Objective: ERAS is more and more widely used in pediatric surgery. Studies on the application of ERAS in tonsil adenoid surgery in children are still insufficient. Methods: We retrospectively analyzed 314 pediatric patients who underwent simultaneous tonsillar and adenoid resection between January 2018 and March 2022 in our hospital. Results: 190 people (122 males and 68 females) were included in the ERAS group. 89 patients (59 males and 30 females) were included in the control group. Results: There were no significant differences between the two groups in terms of the basic data age, gender and height, and weight status. There was no statistical difference in anesthetic complications and postoperative complications between the two groups. The length of stay of 5.05 days in the ERAS group was significantly shortened compared with 6.37 days in the control group. Conclusions: The appropriate time of fasting and drinking before the operation still needs to be further explored and optimized. Early postoperative food intake and nutritional supplementation are also important, especially in patients with eating disorders caused by pain and surgical site infection after pharyngeal surgery such as tonsil surgery.