ICU and Inpatient Clinical Pathway for Treatment of Children Undergoing VEPTR/Spine Growing Instrumentation Procedures
Expansion/Minor
Revision
Revision
Post-Operative Care
Consider day surgery
Consider day surgery
Implantation/Major Revision
Post-Operative Day 3 – Discharge
Remove incisional vac post-op day 5
Remove incisional vac post-op day 5
Discharge Criteria
- Pain controlled by PO medication
- Tolerating PO or GT feeds
- Baseline mobility
- XR Scoliosis 2 VW Frontal/lat no brace (not portable)
- Ortho clinician reviews prior to discharge
Posted: October 2024
Editors: Clinical Pathways Team
Editors: Clinical Pathways Team
References
- Assessment of Regional Functional Effects of Surgical Treatment in Thoracic Insufficiency Syndrome via Dynamic Magnetic Resonance Imaging
- Lengthening Behavior of Magnetically Controlled Growing Rods in Early-Onset Scoliosis
- Surgical and Nonsurgical Factors Associated with Salvaging Exposed Vertical Expandable Prosthetic Titanium Rib Hardware
- Rib-based Distraction Device Implantation Before Age 3 Associated with Higher Unplanned Rate of Return to the Operating Room
CHOP Program