0 704

Cited 10 times in

Usefulness of Noninvasive Positive-pressure Ventilation During Surgery of Flaccid Neuromuscular Scoliosis

Authors
 Hyon Su Chong  ;  Mary Ruth Alfonso Padua  ;  Jun Sik Kim  ;  Hwan Mo Lee  ;  Sung Hwan Moon  ;  Kyung Soo Suk  ;  Hak Sun Kim 
Citation
 JOURNAL OF SPINAL DISORDERS & TECHNIQUES, Vol.28(8) : 298-300, 2015 
Journal Title
JOURNAL OF SPINAL DISORDERS & TECHNIQUES
ISSN
 1536-0652 
Issue Date
2015
MeSH
Adolescent ; Adult ; Case-Control Studies ; Child ; Child, Preschool ; Female ; Humans ; Lung/physiopathology ; Male ; Muscle Hypotonia/complications ; Muscle Hypotonia/surgery* ; Positive-Pressure Respiration/methods* ; Postoperative Complications/etiology ; Scoliosis/complications ; Scoliosis/surgery* ; Treatment Outcome ; Young Adult
Keywords
neuromuscular scoliosis ; noninvasive positive-pressure ventilation (NIPPV) ; restrictive lung disease
Abstract
STUDY DESIGN: This is a retrospective study.
OBJECTIVE: To assess the effects of noninvasive positive-pressure ventilation (NIPPV) through evaluations of outcomes and incidences of postoperative pulmonary complications among patients with flaccid neuromuscular scoliosis for pulmonary support in the perioperative periods.
BACKGROUND DATA: There is no report on the effects of NIPPV on neuromuscular scoliosis patient during the perioperative periods.
METHODS: We retrospectively reviewed 73 patients diagnosed with neuromuscular scoliosis who underwent staged anterior and posterior spinal surgery and instrumentations for deformity correction from 2003 to 2010. A total of 73 patients were divided depending on whether they had received NIPPV treatment or not during the perioperative period. Twenty-eight patients who received NIPPV for respiratory support and 45 patients with no mechanical ventilation were compared according to age, sex, body mass index, number of fusion levels, and end-tidal pressure of CO(2) and forced vital capacity values. The incidence of pulmonary complications associated with either group (pneumonia, atelectasis, pneumothorax, prolonged ventilator support, and postoperative tracheostomy) was then evaluated.
RESULTS: In between the 2 groups, the forced vital capacity (41% vs. 64%, P<0.0001) were observed to be significantly decreased with the use of NIPPV. End-tidal pressure of CO(2) was not statistically different between the 2 groups. Although statistically not significant, patients in the non-NIPPV group had a higher incidence of pulmonary complications (38% vs. 21%, P=0.1584). None of the aforementioned patients required tracheostomy. In addition, no other mortality or neurological complications were noted postoperatively.
CONCLUSIONS: There is a definite advantage of using NIPPV, because the incidence of postoperative pulmonary complications and the need for tracheostomy in patients with severely decreased pulmonary function are not increased from the use of NIPPV.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00024720-201510000-00008&LSLINK=80&D=ovft
DOI
10.1097/BSD.0000000000000234
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Moon, Seong Hwan(문성환)
Suk, Kyung Soo(석경수) ORCID logo https://orcid.org/0000-0003-0633-2658
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141695
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links