Inpatient Clinical Pathway for Periacetabular Osteotomy
Preoperative Anesthesia Evaluation (PAE):
Anesthesia Resource Center
- Goals for POD #0
- PCA initiation
- Analgesia regimen
- Early mobilization
Surgical Day
- Anesthesia
- Surgical/OR Team
- Goals for POD #1
- Analgesia – begin PO regimen
- Advance mobility, initiate PT/OT
- D/C Foley, if clinically appropriate
- Goals for POD #2
- Maintain PO pain regimen
- Continue mobility, PT/OT
- Discharge preparation
To Discharge
- Goals for POD #3
- Maintain PO pain regimen
- Continue mobility, PT/OT
- Discharge preparation
Discharge Home
- Tolerating oral analgesia
- PT/OT Clearance
- Tolerating diet
- Discharge Instructions
Evidence
- Developmental Dysplasia of the Hip in Adolescents and Young Adults
- Comparison of Modern Periacetabular Osteotomy for Hip Dysplasia with Total Hip Arthroplasty for Hip Osteoarthritis-10-year Outcomes are Comparable in Young Adult Patients
- The Impact of Early Epidural Discontinuation on Pain, Opioid Usage, and Length of Stay After Periacetabular Osteotomy
- Pragmatic Comparative Effectiveness Study of Multimodal Fascia Iliaca Nerve Block and Continuous Lumbar Epidural-based Protocols for Periacetabular Osteotomy
CHOP Programs