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Minimally Invasive Craniosynostosis

Pathway Background & Objectives

To date, all craniosynostosis patients have been admitted post operatively to the Pediatric Intensive Care Unit (PICU). Currently the majority of these children have minimally invasive craniosynostosis repair.  With the minimally invasive surgery blood loss is minimal and there are fewer complications than with the open craniofacial surgeries. Currently these patients are discharged from the PICU on postoperative day 1, or they are transferred to the floor for a few hours and then discharged home. To improve quality of care and patient satisfaction these children can be directly admitted to the medical/surgical floors postoperatively if they meet certain criteria.  This will have cost saving benefits as well as improved patient satisfaction for the families.

The specific objectives of this clinical pathway are to:

  • Improve and standardize care
  • Avoid unnecessary admission to the PICU
  • Reduce hospital length of stay
  • Improve patient and family satisfaction

Algorithm

Download Minimally Invasive Craniosynostosis Pathway Algorithm

Quality Metrics:

  • Percentage of eligible patients treated per pathway
  • Percentage of patients with use of order set
  • Percentage of patients transferred to the PICU within 24 hours
  • Percentage of patients requiring blood transfusion within 24 hours of surgery
  • Percentage patients with deep wound infection
  • Percentage patients with superficial skin infection (SSI)
  • Readmissions within 30 days
  • Returns to the OR within 30 days

Educational Module

Download Minimally Invasive Craniosynostosis Educational Module

Key References

Pathway Contacts

  • Nella Stoltz, APRN
  • Markus Bookland, MD
  • Jonathan Martin, MD

Disclaimer

The clinical pathways in the above links have been developed specifically for use at Connecticut Children’s and are made available publicly for informational and/or educational purposes only. The clinical pathways are not intended to be, nor are they, a substitute for individualized professional medical judgment, advice, diagnosis, or treatment. Although Connecticut Children’s makes all efforts to ensure the accuracy of the posted content, Connecticut Children’s makes no warranty of any kind as to the accuracy or completeness of the information or its fitness for use at any particular facility or in any individual case.

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