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