Postoperative Management for EOS Children
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Postoperative Management for EOS Children book
Surgical management of early-onset scoliosis (EOS) includes growth-friendly nonspine fusion surgeries. The immediate postoperative period is the most crucial period after a scoliosis surgery. Optimum management during this period is paramount to improve function outcome by facilitating early rehabilitation while reducing postoperative morbidity and complications. Although, the majority of patients who undergo surgery for EOS are extubated immediately, some patients with associated congenital abnormalities or syndromic affections may need intensive care support. Patients undergoing spine surgery for scoliosis are at a high risk for haemodynamic compromise due to perioperative blood loss, hypothermia, and deleterious effects of prone positioning. Inadequate pain management can lead to significant haemodynamic disturbance and poor postoperative recovery. Patients undergoing surgery for EOS are at an increased risk of pulmonary, urinary, and haematological complications. Patients are commonly discharged on oral analgesic medications including acetaminophen, tramadol, pregabalin, and, in some cases with inadequate analgesia, ketorolac patches.