Borden Timothy C, Bellaire Laura L, Fletcher Nicholas D
Department of Orthopaedic Surgery, Emory University, Atlanta, GA, USA.
J Multidiscip Healthc. 2016 Sep 14;9:435-445. doi: 10.2147/JMDH.S95319. eCollection 2016.
The complex nature of the surgical treatment of adolescent idiopathic scoliosis (AIS) requires a wide variety of health care providers. A well-coordinated, multidisciplinary team approach to the care of these patients is essential for providing high-quality care. This review offers an up-to-date overview of the numerous interventions and safety measures for improving outcomes after AIS surgery throughout the perioperative phases of care. Reducing the risk of potentially devastating and costly complications after AIS surgery is the responsibility of every single member of the health care team. Specifically, this review will focus on the perioperative measures for preventing surgical site infections, reducing the risk of neurologic injury, minimizing surgical blood loss, and preventing postoperative complications. Also, the review will highlight the postoperative protocols that emphasize early mobilization and accelerated discharge.
青少年特发性脊柱侧凸(AIS)手术治疗的复杂性需要各类医疗服务提供者参与。采用协调良好的多学科团队方法来护理这些患者,对于提供高质量护理至关重要。本综述提供了一个最新概述,涵盖了在AIS手术围手术期护理各阶段改善术后结果的众多干预措施和安全措施。降低AIS手术后可能造成毁灭性后果且代价高昂的并发症风险是医疗团队每一位成员的责任。具体而言,本综述将聚焦于预防手术部位感染、降低神经损伤风险、减少手术失血以及预防术后并发症的围手术期措施。此外,该综述还将突出强调强调早期活动和加速出院的术后方案。