Inpatient Clinical Pathway for Adolescent Idiopathic Scoliosis (AIS) Spinal Fusion Rapid Recovery
- Goals for Surgical Day
- PCA Initiation
- Analgesia regimen
- Early mobilization
- Goals for POD #1
- Analgesia – begin PO regimen
- Advance mobility
- DC Foley
- Goals for POD #2
- Maintain PO pain regimen
- Advance mobility
- Discharge preparation
- Goals for POD #3
- Analgesia
- Discharge Preparation
- Discharge Criteria
- Tolerating oral analgesia PT/OT Clearance
- Tolerating diet
Posted: December 2014
Last Revised: October 2024
Authors: W. Muhly, MD; K. Devine, CRNP; A. Norton, CRNP; W. Sankar, MD; J. Flynn, MD; L. Maxwell, MD;
K. Mason, CNS; A. Grachen PharmD; C. Strawley, CRNP
Last Revised: October 2024
Authors: W. Muhly, MD; K. Devine, CRNP; A. Norton, CRNP; W. Sankar, MD; J. Flynn, MD; L. Maxwell, MD;
K. Mason, CNS; A. Grachen PharmD; C. Strawley, CRNP
Evidence
- 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.
- Postoperative Ketorolac Does not Predispose to Pseudoarthrosis Following Posterior Spinal Fusion and Instrumentation for Adolescent Idiopathic Scoliosis
- Postoperative Pain and Analgesic Requirements in the First Year after Intraoperative Methadone for Complex Spine and Cardiac Surgery
CHOP Program