{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:45:05Z","timestamp":1784767505421,"version":"3.55.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T00:00:00Z","timestamp":1653523200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T00:00:00Z","timestamp":1653523200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Objective<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>This study aims to characterize current use, knowledge, and attitude toward ERAS protocols by academic craniofacial surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Design<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Craniofacial surgeons were provided with electronic surveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Setting<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Electronic survey; Institutional tertiary surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Participants<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>102 cleft palate surgeons surveyed and 31 completed the survey (30.4%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Interventions<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>None.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Main Outcome Measures<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Respondents rated their knowledge, use, and willingness to implement perioperative interventions modeled after adult ERAS protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Results<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Majority (67.7%) rated they were knowledgeable about ERAS. However, 61.3% \u201cnever use\u201d a standardized protocol for cleft palate surgery. Only 3 ERAS elements are currently implemented by a majority of cleft surgeons: avoiding prolonged perioperative fasting (67.7%), using hypothermia prevention measures (74.2%), and minimizing use of opioids (62.5%). A large majority of respondents noted they never administer bolus (71.0%) or infusion (80.6%) dosing of tranexamic acid; most of these surgeons also indicated that administering tranexamic acid \u201cwould not be a valuable addition\u201d (67.7% and 71.0%, respectively). Short-acting sedatives are used by 12.9% and by 16.1% of surgeons in all patients during extubation and postoperative recovery, respectively. By contrast, 22.6% never use such agents during extubation and 48.4% never use it during postoperative recovery. Overall, 67.7% of respondents replied that they would be willing to implement an ERAS protocol for cleft palate repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Conclusions<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Many respondents report using interventions compatible with an ERAS approach and the majority are willing to implement an ERAS protocol for cleft palate repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221103756","type":"journal-article","created":{"date-parts":[[2022,5,27]],"date-time":"2022-05-27T01:32:23Z","timestamp":1653615143000},"page":"1305-1312","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["A Survey on Enhanced Recovery After Surgery (ERAS) Elements in Cleft Palate Repair"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5673-1070","authenticated-orcid":false,"given":"Christina","family":"Grabar","sequence":"first","affiliation":[{"name":"School of Medicine, University of California Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Fligor","sequence":"additional","affiliation":[{"name":"University of California Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Kanack","sequence":"additional","affiliation":[{"name":"University of California Irvine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juleah","family":"Walsh","sequence":"additional","affiliation":[{"name":"CHOC Children\u2019s, Orange"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe","family":"Kim","sequence":"additional","affiliation":[{"name":"CHOC Children\u2019s, Orange"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Vyas","sequence":"additional","affiliation":[{"name":"University of California Irvine"},{"name":"CHOC Children\u2019s, Orange"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,5,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/78.5.606"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2010.01.004"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31817f2c1a"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/hpb.12265"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1308\/003588413X13629960046039"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2017.09.008"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.4952"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2018.02.005"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006967"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-049839"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1590\/1413-785220212906244502"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-199957060-00017"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-021-06355-2"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546521988943"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1597\/14-193"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-021-01736-z"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14381"},{"key":"e_1_3_2_20_2","first-page":"1","article-title":"The association of postoperative dexmedetomidine with pain, opiate utilization, and hospital length of stay in children post-Chiari malformation decompression [published online ahead of print, 2021 Dec 10]","author":"Cater DT","year":"2021","unstructured":"Cater DT, Rogerson CM, Hobson MJ, Ackerman LL, Rowan CM. 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