Treatment Algorithms and Protocol Practice in High-Risk Spine Surgery

被引:15
|
作者
Sugrue, Patrick A. [1 ]
Halpin, Ryan J. [2 ]
Koski, Tyler R. [1 ]
机构
[1] Northwestern Univ, Dept Neurol Surg, Feinberg Sch Med, Chicago, IL 60611 USA
[2] Olympia Orthopaed Associates, Div Neurosurg, Olympia, WA 98502 USA
关键词
Evidence-based medicine; High-risk spine protocol; Spine surgery; Spinal deformity; DEEP VENOUS THROMBOSIS; POSTOPERATIVE PULMONARY COMPLICATIONS; INTENSIVE INSULIN THERAPY; VENA-CAVA FILTERS; PERIOPERATIVE COMPLICATIONS; THROMBOEMBOLIC DISEASE; SURGICAL-TREATMENT; DEFORMITY SURGERY; VEIN THROMBOSIS; TRANEXAMIC ACID;
D O I
10.1016/j.nec.2012.12.012
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The practice of appropriate evidence-based medicine should be a goal for all physicians. By using protocols in areas where strong evidence-based medicine exists, physicians have reliably shown they can improve patient outcomes while reducing complications, cost, and hospital stay. Evidence-based protocols in complex spinal care are rare. At Northwestern University the authors have developed a multidisciplinary protocol for the preoperative, intraoperative, and postoperative workup and care of complex spine patients. The rationale and use of the High-Risk Spine Protocol is discussed.
引用
收藏
页码:219 / +
页数:13
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