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VEPTR/Spine Growing Instrumentation Procedures Clinical Pathway, ICU and Inpatient – Intraoperative Considerations

VEPTR/Spine Growing Instrumentation Procedures Clinical Pathway — ICU and Inpatient

Intraoperative Considerations

Airway/Respiratory
  • Prior to return to PICU, vent support should not be weaned lower than baseline settings
  • Maintain cuffed tracheostomy
Anesthesia If neuromonitoring is required, avoid muscle relaxant and inhalational agent for anesthetic maintenance
Incision Dressing
  • Mepilex Ag border
  • Incisional vac 100 mmHg continuous for 5 days per surgeon
Drains
  • Quantity and type of drain per surgeon
  • Varies from 1-4 total; combination of JP and Hemovac drains
Pain Control
  • Peri-incisional lidocaine with epinephrine
Documentation
  • OR nurse documents surgical incisions in wound flowsheet

 

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