Scoliosis (AIS) protocol
IV (left #18g if possible) Oral: Tylenol 650mg, tizanidine 4mg, bisacodyl 10mg, celocoxib 400mg IV Midaz 2mg on transport to OR Check QTc (<0.4sec) Methadone 0.15mg/kg IV Propofol to complete induction Nasal ETT (regular tube, Magills)) Isoflurane 0.6%, N2O 50% Left #20G Art line (ultrasound) Second IV #18g (opposite arm) Foley IOM wires Prone TXA (30mg/kg up to 2mg then 10mg/kg/hr) Ancef 2gm Ketamine 0.2mg/kg bolus prior to incision Ondansetron Dexamethasone No muscle relaxant See you in am!
https://pedsanesthesia.net/wiki/index.php?title=Idiopathic_Scoliosis