PERIOPERATIVE INFUSION THERAPY AS A COMPONENT OF ENHANCED RECOVERY AFTER SURGERY (ERAS) IN CHILDREN

The integration of Enhanced Recovery After Surgery (ERAS) protocols into pediatric practice is considered a key factor in improving the safety and effectiveness of surgical treatment. The aim of this review is to systematically analyze modern strategies of perioperative infusion therapy in children within the ERAS framework. Particular attention is given to methods for assessing body fluid compartment distribution, including the potential and safety profile of bioimpedance analysis in the pediatric population. The critical role of maintaining euvolemic status at all stages of perioperative management is emphasized in order to minimize the risk of complications such as capillary leak, interstitial edema, and organ dysfunction. It is concluded that goal-directed infusion therapy, based on adequate monitoring, represents a fundamental component of enhanced postoperative recovery in children undergoing major surgical interventions.