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Tethered Cord Evaluation and Perioperative Management — Post-operative Disposition Planning — Clinical Pathway: Inpatient and Primary Care

Tethered Cord Evaluation and Perioperative Management Clinical Pathway — Inpatient and Primary Care

Post-operative Disposition Planning

Review post-operative disposition in the morning huddle.

Disposition Planning Considerations
Simple Tethered Cord Repair Medical/Surgical floor SST
Complex Tethered Cord Repair PICU
  • Discuss post-operative sedation plan with PICU team before leaving OR
    • Loading dose of dexmedetomidine followed by infusion in the PICU may be required (PICU team to order and have ready)
    • Alternative strategies may include scheduled valium
  • Neurology PICU Consult on POD #0 to coordinate transfer to the Neuroscience Unit (NSU) when ICU care needs are met

 

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