Methadone and a Clinical Pathway in Adolescent Idiopathic Scoliosis Surgery: A Historically Controlled Study.

ABSTRACT:

Study design

Historically controlled clinical trial.

Objectives

Patients presenting for correction of adolescent idiopathic scoliosis (AIS) by posterior spinal fusion may benefit from structured clinical pathways. We studied the effects of implementing a published clinical pathway for the perioperative care of patients with AIS that required intraoperative use of methadone at our institution.

Methods

We performed a historically controlled clinical trial of patients undergoing posterior spinal fusion for AIS by comparing a retrospectively collected control group of 25 patients with a prospective experimental group of 14 patients receiving methadone, gabapentin, propofol, and remifentanil as part of a new clinical pathway.

Results

Use of the pathway decreased ave

SUBMITTER: Tams C 

PROVIDER: S-EPMC7485079 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature