Perioperative management in pediatric day surgery: a synthesis of best evidence

Background To retrieve, analyze, and extract evidence related to perioperative management in pediatric day surgery, and provide evidence-based foundation for clinical perioperative care of children undergoing day surgery. Methods By browsing the websites of the national and international guideline databases, professional association websites, and several databases, including BMJ Best Practice, PubMed, Web of Science, Embase, CINAHL, Cochrane Library, CNKI, VIP Database, Wanfang Database, and the China Biomedical Literature Database, relevant literatures, guidelines, evidence summaries, meta-analyses, expert consensuses, systematic reviews, and randomized controlled trials (RCTs) about perioperative management in pediatric day surgery. The search period spanned from the inception of the databases to August 2024. Results After initially identifying 1821 articles, 15 articles were ultimately included following the exclusion of literature that did not meet the standards, comprising 3 clinical decision-making articles, 4 guidelines, 4 systematic reviews, 3 expert consensus statements, and 1 randomized controlled trial. Evidence summarization was conducted from three aspects: construction of day surgery systems, quality and safety, and perioperative management, summarizing 26 pieces of best evidence. Conclusion This evidence synthesis translates 26 best-evidence recommendations into an implementable roadmap for pediatric day-surgery teams, supporting context-adapted perioperative management to promote knowledge translation into practice.