Developing a Path to a Non-Intubated Scoliosis Cast Change

Cast correction for progressive infantile scoliosis is a non-surgical procedure that requires repeated intubation, spinal manipulation and cast application. This writer will discuss an initiative to eliminate frequent general anesthesia by assessing and preparing a patient to remain awake during this procedure, including facilitating parental support in the operating room. Video commentary from the surgeon, anesthesiologist and families will give insight into this complicated process and challenges will be discussed.