Paediatric Cerebral Palsy for Bilateral Hip Surgery

You are reviewing a 10-year-old child on the day of surgery who has been scheduled for bilateral proximal femoral derotation osteotomies and tendon transfers with a left pelvic osteotomy. The child has a history of cerebral palsy, epilepsy, autism spectrum disorder and intellectual disability, attending a school for children with disability in year 3. They have had previous surgery on the right hip and can mobilise short distances with a frame but they use a wheelchair when out of the house. Weight 25 kg. Medications: Baclofen 2.5 mg TDS Gabapentin 30 mg nocte Omeprazole 5 mg daily Sodium valproate 250 mg BD