Inpatient Clinical Pathway for Adolescent Idiopathic Scoliosis (AIS) Spinal Fusion Rapid Recovery
Quality Story
A Dedicated Team for Scoliosis Surgery
A Dedicated Team for Scoliosis Surgery
Additional Considerations
- GOALS FOR DAY 0
- PCA Initiation
- Analgesia regimen
- Early mobilization
- Goals for POD #1
- Analgesia – begin PO regimen
- Advance mobility
- DC Foley as clinically appropriate
- Goals for POD #2
- Maintain PO pain regimen
- Advance mobility
- Discharge preparation
- Goals for POD #3
- Analgesia
- Discharge Preparation
Discharge Home
Pager Contact Info
- Ortho Resident: 11014
- Inpatient Ortho APP on Call: See Extend Pager System
- Pain Service: 10444, 70444
- Boston Orthotics & Prosthetics (O&P): 215-634-9399
Posted: December 2014
Revised: July 2021
Authors: W. Muhly, MD; A. Norton, CRNP; K. Ryan, CRNP; W. Sankar, MD; J. Flynn, MD; L. Maxwell, MD;
R. Rojas, RN; K. Mason, CNS; A. Grachen PharmD; C. Strawley, CRNP
Revised: July 2021
Authors: W. Muhly, MD; A. Norton, CRNP; K. Ryan, CRNP; W. Sankar, MD; J. Flynn, MD; L. Maxwell, MD;
R. Rojas, RN; K. Mason, CNS; A. Grachen PharmD; C. Strawley, CRNP
Evidence
- Acetaminophen improves analgesia but does not reduce opioid requirement after major spinal surgery in children and adolescents
- Gabapentin use in pediatric spinal fusion patients: a randomized, double-blind, controlled trial
- Postoperative ketorolac does not predispose to pseudoarthrosis following posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis
- Rapid Recovery Pathway After Spinal Fusion for Idiopathic Scoliosis
- Use of a Novel Pathway for Early Discharge Was Associated With a 48% Shorter Length of Stay After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.
CHOP Program