ERAS (enhancedrecoveryaftersurgery, ERAS) is accelerated recovery surgery, which is the perioperative application of a series of optimized measures with evidence-based medical evidence to reduce the patient’s psychological and physiological traumatic stress response in order to achieve the patient’s accelerated recovery. I am afraid it is the perception of many people that they have to rest in bed for a long time after open-heart surgery. However, today I will tell you a story of a small patient, which may change your understanding of perioperative recovery. The child was 5 years old and was able to sit up in the morning after the brain tumor resection. In the afternoon, he took off the monitoring equipment and got out of bed with his parents. You must be surprised, how is this possible? Isn’t it necessary to stay in bed for a while to recover after surgery? Is it dangerous to get out of bed so early? With most people’s questions, let’s start today’s question and answer session. The reason for getting children out of bed early is that we apply the concept of accelerated rehabilitation surgery to our clinical work. Then, this article will take you to unravel the mystery of ERAS and see how it is done in clinical work. 1. Pre-operative When it comes to surgery, every child and parent’s heart is filled with anxiety and anxiety, and even overwhelmed, so it is especially important to help them prepare for the operation. In order to ensure the safety of anesthesia, all general anesthesia surgery requires fasting and water fasting for several hours before surgery. However, eating and drinking are the most basic physiological needs of human beings. Small children have a low tolerance for hunger, and under the stressful state of hunger, their emotions, cooperation, and even the severity of their condition, may change. In order to make the surgery safer and more comfortable for children, we have refined the timing of eating different foods according to the latest domestic and international guidelines and the characteristics of food types to avoid “one size fits all”. At the same time, we created easy-to-understand educational materials to improve the cooperation of families. This can prevent the child from going into the stressful state of starvation too early and avoid the risk of aspiration caused by a potentially full stomach, thus improving the child’s comfort and reducing the anxiety of the family. The day before the operation, doctors and nurses from the anesthesiology department and the operating room are also busy. The anesthesiologist visits the child in the ward and asks the family about the child’s current and past medical history to assess the risk of anesthesia. The roving nurses in the operating room will ask the family about the child’s condition, understand the child’s personality and preferences, and actively interact with the child to enhance trust and reduce the child’s nervousness and anxiety. The nurses in the ward will explain in detail to the family members about the preparation of preoperative and postoperative items and precautions, help the child train to urinate in bed, and teach early rehabilitation exercises during the postoperative bed rest period. Early in the morning on the day of surgery, the nurses on the ward will give the child intranasal drops of sedation in advance to reduce the child’s fear of environmental changes, separation from parents and fear of puncture, which is simple and fast-acting. Only when the child is asleep do the nurses in the operating room perform the venipuncture. For older babies, the nurses in the operating room will pick up the children with a child’s remote control car. Older babies can even drive themselves into the operating room in a small car, which can increase the child’s interest and reduce fear. 2.Post-operation After the operation, before the child is awake, the nurses in the operating room will remove the urinary catheter for the children as long as their condition allows, which can avoid the irritation of the urinary catheter when they are awake after the operation and make them more comfortable. Back in the ward, waiting for the babies are gentle nurses and aunts. To relieve the children’s symptoms such as dry mouth and uncomfortable throat caused by the intubation, the children’s wakefulness is assessed and carbohydrate drinks are given as early as possible to avoid the babies’ hunger. This greatly increased the child’s comfort compared to the previous 6-hour post-operative water fast. It is also important to get the child out of bed early. Instead of increasing the risk, getting the child out of bed on the first day after surgery will speed up the child’s recovery. There are many benefits to getting out of bed early, including promoting wound healing, facilitating recovery of gastrointestinal function, reducing deep vein thrombosis in the lower extremities, and reducing lung infections. In order to encourage children to get out of bed as early as possible after surgery, children’s favorite toys and books can be placed in the children’s activity room and activity corner of the ward. These two places become the motivation for children to get out of bed and move around early. After reading the above introduction, I believe you have a certain understanding of the “Accelerated Recovery Surgery Concept”, which is a revolutionary treatment model that overturns many of the traditional concepts of surgery, and is patient-centered. The goal of “early feeding, early activity, early discharge, reduction of complications and cost reduction” is achieved after surgery. More children and their parents will benefit from this project.