Perioperative anesthesia management for scoliosis correction in a patient with severe pulmonary insufficiency: a case report

ZHU Xurui; HAO Jing; ZHANG Wei; DONG Yuanyuan; GU Xiaoping

doi:10.16766/j.cnki.issn.1674-4152.003860

Volume 23 Issue 1

Jan. 2025

Turn off MathJax

Article Contents

Article Navigation > Chinese Journal of General Practice > 2025 > 23(1): 172-174

ZHU Xurui, HAO Jing, ZHANG Wei, DONG Yuanyuan, GU Xiaoping. Perioperative anesthesia management for scoliosis correction in a patient with severe pulmonary insufficiency: a case report[J]. Chinese Journal of General Practice, 2025, 23(1): 172-174. doi: 10.16766/j.cnki.issn.1674-4152.003860

Citation:

ZHU Xurui, HAO Jing, ZHANG Wei, DONG Yuanyuan, GU Xiaoping. Perioperative anesthesia management for scoliosis correction in a patient with severe pulmonary insufficiency: a case report[J]. Chinese Journal of General Practice, 2025, 23(1): 172-174. doi: 10.16766/j.cnki.issn.1674-4152.003860

Citation:

ZHU Xurui, HAO Jing, ZHANG Wei, DONG Yuanyuan, GU Xiaoping. Perioperative anesthesia management for scoliosis correction in a patient with severe pulmonary insufficiency: a case report[J]. Chinese Journal of General Practice, 2025, 23(1): 172-174. doi: 10.16766/j.cnki.issn.1674-4152.003860

PDF( 665 KB)

Perioperative anesthesia management for scoliosis correction in a patient with severe pulmonary insufficiency: a case report

doi: 10.16766/j.cnki.issn.1674-4152.003860

2.
Department of Anesthesiology, Drum Tower Clinical College of Medicine, Nanjing Medical University, Nanjing, Jiangsu 210008, China

Funds:

81730033

82171193

Received Date: 2024-06-11
Available Online: 2025-02-13

Abstract

Abstract

Patients with combined thoracic deformities due to spinal scoliosis often suffer severe lung function impairment, posing a high risk for anesthesia during surgery. Shortly after spinal orthopaedic surgery, their lung function typically deteriorates further. Therefore, implementing appropriate perioperative anesthesia strategies to protect lung function is crucial. This article reports the anesthesia management during the perioperative period for a case of severe mixed ventilation dysfunction in a patient with preoperative thoracic scoliosis.
- Scoliosis,
- Lung function,
- Perioperative management,
- Anesthesia

FullText(HTML)

References(16)

References

[1]	NEGRINI S, DONZELLI S, AULISAA G, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth[J]. Scoliosis Spinal Disord, 2018, 13: 3. DOI: 10.1186/s13013-017-0145-8.
[2]	KAYA M H, ERBAHÇECI F, ALKAN H, et al. Factors influencing of quality of life in adolescent idiopathic scoliosis[J]. Musculoskelet Sci Pract, 2022, 62: 102628. DOI: 10.1016/j.msksp.2022.102628.
[3]	KAN M M P, NEGRINI S, DI FELICE F, et al. Is impaired lung function related to spinal deformities in patients with adolescent idiopathic scoliosis? A systematic review and meta-analysis SOSORT 2019 award paper[J]. Eur Spine J, 2023, 32(1): 118-139. doi: 10.1007/s00586-022-07371-z
[4]	YUAN N, FRAIRE J A, MARGETIS M M, et al. The effect of scoliosis surgery on lung function in the immediate postoperative period[J]. Spine (Phila Pa 1976), 2005, 30(19): 2182-2185. doi: 10.1097/01.brs.0000181060.49993.4a
[5]	ZHOU X, ZHANG Z, YANG Y, et al. Pulmonary recovery following corrective surgery in adult patients with severe scoliosis: a minimum of five-year follow-up[J]. Front Med (Lausanne), 2022, 9: 915904. DOI: 10.3389/fmed.2022.915904.
[6]	YASZAY B, JANKOWSKI P P, BASTROM T P, et al. Progressive decline in pulmonary function 5 years post-operatively in patients who underwent anterior instrumentation for surgical correction of adolescent idiopathic scoliosis[J]. Eur Spine J, 2019, 28(6): 1322-1330. doi: 10.1007/s00586-019-05923-4
[7]	中华医学会麻醉学分会"围术期肺保护性通气策略临床应用专家共识"工作小组. 围术期肺保护性通气策略临床应用专家共识[J]. 中华麻醉学杂志, 2020, 40(5): 513-519. doi: 10.3760/cma.j.cn131073.20200402.00501 Working group of "Expert Consensus on Clinical Application of perioperative lung protective Ventilation Strategy", Chinese Society of Anesthesiology. Expert consensus on clinical application of perioperative lung-protective ventilation strategies[J]. Chinese Journal of Anesthesiology, 2020, 40(5): 513-519. doi: 10.3760/cma.j.cn131073.20200402.00501
[8]	于洋, 姚媛媛, 明月, 等. 脊柱侧弯矫形手术患者术后肺部并发症的危险因素[J]. 临床麻醉学杂志, 2022, 38(10): 1071-1075. doi: 10.12089/jca.2022.10.012 YU Y, YAO Y Y, MING Y, et al. Risk factors of postoperative pulmonary complications in patients undergoing scoliosis fusion surgery[J]. Journal of Clinical Anesthesiology, 2022, 38(10): 1071-1075. doi: 10.12089/jca.2022.10.012
[9]	BASBUG G, GURSES H N, ZEREN M, et al. Effects of inspiratory muscle training on respiratory muscle strength, respiratory function and functional capacity in adolescents with idiopathic scoliosis: a randomized, controlled trial[J]. Wien Klin Wochenschr, 2023, 135(11-12): 282-290. doi: 10.1007/s00508-023-02197-1
[10]	FELDMAN J M. Optimal ventilation of the anesthetized pediatric patient[J]. Anesth Analg, 2015, 120(1): 165-175. doi: 10.1213/ANE.0000000000000472
[11]	霍良红, 胡璟, 张建敏. 肺保护性通气策略对脊柱侧弯矫形术患儿术后肺部并发症的影响: 基于倾向性评分匹配的回顾性队列研究[J]. 中华麻醉学杂志, 2020, 40(6): 646-650. doi: 10.3760/cma.j.cn131073.20191011.00602 HUO L H, HU J, ZHANG J M. Effect of lung-protective ventilation strategy on postoperative pulmonary complications in pediatric patients undergoing scoliosis surgery: a retrospective propensity score-matched cohort study[J]. Chinese Journal of Anesthesiology, 2020, 40(6): 646-650. doi: 10.3760/cma.j.cn131073.20191011.00602
[12]	DE JONG A, WRIGGE H, HEDENSTIERNA G, et al. How to ventilate obese patients in the ICU[J]. Intensive Care Med, 2020, 4(12): 2423-2435.
[13]	BALL L, BOS L D, PELOSI P. High-flow nasal cannula in the postoperative period: is positive pressure the phantom of the OPERA trial?[J]. Intensive Care Med, 2017, 43(1): 119-121. doi: 10.1007/s00134-016-4627-6
[14]	ZHU Y, YIN H, ZHANG R, et al. High-flow nasal cannula oxygen therapy versus conventional oxygen therapy in patients after planned extubation: a systematic review and meta-analysis[J]. Crit Care, 2019, 23(1): 180. doi: 10.1186/s13054-019-2465-y
[15]	RAMNARAYAN P, RICHARDS-BELLE A, DRIKITE L, et al. Effect of high-flow nasal cannula therapy vs continuous positive airway pressure therapy on liberation from respiratory support in acutely ill children admitted to pediatric critical care units: a randomized clinical trial[J]. JAMA, 2022, 328(2): 162-172.
[16]	TSENG C W, CHAO K Y, WU H L, et al. Effectiveness of high-flow nasal cannulae compared with noninvasive positive-pressure ventilation in preventing reintubation in patients receiving prolonged mechanical ventilation[J]. Sci Rep, 2023, 13(1): 4689. DOI: 10.1038/s41598-023-31444-8.

Relative Articles

Supplements(0)

Cited By

Proportional views

Proportional views

通讯作者: 陈斌, bchen63@163.com

1.
沈阳化工大学材料科学与工程学院沈阳 110142

Figures(2)

Get Citation

PDF

XML

Article Metrics

Article views (26) PDF downloads(1)

Perioperative anesthesia management for scoliosis correction in a patient with severe pulmonary insufficiency: a case report

doi: 10.16766/j.cnki.issn.1674-4152.003860

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Perioperative anesthesia management for scoliosis correction in a patient with severe pulmonary insufficiency: a case report

doi: 10.16766/j.cnki.issn.1674-4152.003860

Abstract

References

Proportional views

Catalog

通讯作者: 陈斌, bchen63@163.com

Article Metrics

Proportional views

Related

Export File

Citation

Format

Content