Neuromuscular Patients Undergoing Major Orthopedic Surgery ERAS

Authors

Children's Mercy Kansas City

Files

Publication Date

10-2022

Disclaimer

These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly, these guidelines should guide care with the understanding that departures from them may be required at times.

Objective of the Care Process Model

This Enhanced Recovery After Surgery (ERAS) pathway aims to standardize perioperative care and accelerate recovery for neuromuscular patients undergoing major orthopedic surgery starting preoperatively with a bowel regimen, carbohydrate rich fluid intake on the day of surgery, and preoperative warming. The pathway includes a multimodal pain management regimen utilizing single shot peripheral nerve blocks that aims to reduce opioid utilization, decrease adverse drug related side effects, expedite the resumption of oral intake, and promote the return of bowel function.

Target Users

Pediatric surgeons; Nurse practitioners; OR nurses; Anesthesiologists

Disciplines

Pediatrics

Comments

Finalized: Oct 2022

Recommended Citation

Children's Mercy Kansas City, "Neuromuscular Patients Undergoing Major Orthopedic Surgery ERAS" (2022). Clinical Pathways.
https://scholarlyexchange.childrensmercy.org/care_models/73