Describe the postoperative anesthetic concerns follow-ing scoliosis
In the majority of patients, the goal at the
end of scolio-sis repair will be to awaken and extubate in the operating room.
In some patients, extubation may be delayed and the factors leading to it can
be the same as those associated with any general anesthesia case. Additionally,
factors more specif-ically related to the patient with scoliosis include
possible underlying pulmonary dysfunction, persistent muscle weakness, or
issues related to any coexisting disease(s).
Postoperative anesthetic concerns focus on
known complications following posterior spinal fusion surgery and these include
bleeding, pneumothorax, atelectasis, respiratory distress, and neurologic deficit.
Another area of concern in the postoperative anesthetic care is pain
management. Pain control in the initial postoperative period can be treated by
intravenous (IV) patient-controlled anal-gesia (PCA) with opioids. In young
children or cognitively impaired patients, a continuous IV opioid infusion is
suggested. Most patients are cared for in an intensive care unit following