Kyphoscoliosis—What Can We Do for Respiration besides NIV?

Pajdziński, Mateusz; Młynarczyk, Paulina; Miłkowska-Dymanowska, Joanna; Białas, Adam J.; Afzal, Moin Aldin Muhammad; Piotrowski, Wojciech J.; Górski, Paweł

doi:10.5603/arm.2017.0060

Cited by 8 publications

(8 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is known that no other respiratory failure treatment method in kyphoscoliosis is more effective than NIV [27]. Such treatment in patients with kyphoscoliosis not only increases the survival rate [28], but also improves gasometry, reduces hypoventilation symptoms and has a beneficial impact on muscle function [29].…”

Section: Discussionmentioning

confidence: 99%

Can alveolar hypoventilation due to kyphoscoliosis be a contraindication to driving?

Kania

Nadziakiewicz

Celejewska‐Wójcik

et al. 2019

Int J Occup Med Environ Health

View full text Add to dashboard Cite

Road accidents are among the main fatalities worldwide and drowsy driving is a significant cause of road deaths where drivers are at fault. There are well known diseases which impair sensory and cognitive functions and can cause sleepiness during driving. Such diseases can be an important contraindication to driving because they may have an adverse effect on its safety. Thus, medical examinations for drivers should also be directed at identifying any possible conditions posing risks for driving safety. Occupational medicine specialists should look for symptoms of locomotor and sleep-related breathing disorders as these are medical conditions which could preclude a person from driving. In this case report, the authors describe a professional driver with chest deformity and present a pioneering attempt at assessing his medical fitness to drive. It is also explained why scoliosis can impair driving ability and how it should be diagnosed and treated. Finally, the authors describe how they used driving simulator tests as part of their diagnosis and suggest a relevant treatment regimen.

show abstract

Section: Discussionmentioning

confidence: 99%

Can alveolar hypoventilation due to kyphoscoliosis be a contraindication to driving?

Kania

Nadziakiewicz

Celejewska‐Wójcik

et al. 2019

Int J Occup Med Environ Health

View full text Add to dashboard Cite

show abstract

“…Kyphoscoliosis is linked to varying degrees of cardiopulmonary deterioration; the development of PH marks a more severe outcome. Although the first reports on kyphoscoliosis complicated by PH appeared several decades ago, the amount of publications reporting novel therapeutic approaches remains scarce [6]. A recent registry study of adult PH patients reported that none of the 1344 enrolled participants were affected by kyphoscoliosis [7].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Response to Vasoactive Treatment in a Case of Kyphoscoliosis-Associated Pulmonary Hypertension

et al. 2019

View full text Add to dashboard Cite

Patient: Female, 61Final Diagnosis: Pulmonary hypertensionSymptoms: DyspnoeaMedication: —Clinical Procedure: —Specialty: CardiologyObjective:Unusual setting of medical careBackground:Kyphoscoliosis is an anatomical deformity of the spine often accompanied by an array of respiratory complications, pulmonary hypertension being among the most severe ones. At present, evidence-based treatment options for kyphoscoliosis-related pulmonary hypertension remain limited to the correction of hypoxemia through ventilatory support and long-term oxygenation.Case Report:We report a case of a 61-year-old female with severe kyphoscoliosis-related pulmonary hypertension who was admitted to a university hospital in September 2018 due to progressive dyspnea and respiratory failure. She was diagnosed with pulmonary hypertension in 2016 and had been on endothelin receptor antagonist (ambrisentan) and oxygen therapy ever since. Upon admission, the patient presented with severe depression of peripheral oxygen saturation (SpO2 at 75%). The patient declined further treatment hours after hospitalization, despite optimized supportive oxygen therapy. Ambrisentan was discontinued and replaced by inhaled iloprost. Over the course of the next 4 days, the patient showed symptomatic improvement and was discharged on Day 5. Right heart catheterization follow-up in February 2019 showed no worsening in pulmonary hemodynamic parameters compared to the time of initial diagnosis.Conclusions:Managing the respiratory decline in kyphoscoliosis-related pulmonary hypertension can be challenging since these patients tend to deteriorate despite current treatment options. Our case reports on the use of vasoactive agents as a safe and effective treatment option in addition to established therapeutic regimen.

show abstract

“…It can develop at any age but manifests clinically during periods of rapid growth. In general populations, its prevalence varies from 0.3% to 15.3% with a female preponderance [Female: male ratio 3:1] [1] .…”

Section: Introductionmentioning

confidence: 99%

Robotic-assisted laparoscopic radical prostatectomy in a patient with sever Kyphoscoliosis, Ankylosing Spondylitis: a case report.

Kuwaijo

AbiElmagd

Hegarty

et al. 2020

International Journal of Medical Arts

View full text Add to dashboard Cite

Background: Anatomical abnormalities in kyphoscoliosis [KS] is a huge challenge in patient positioning for robotic prostatectomy. The narrow pelvis limits the range of movement of the robotic instruments' and port placing could be an issue. Second, carful preoperative assessment prior to administration of anesthesia and pneumoperitoneum in robot-assisted radical prostatectomy [RRP] is crucial to reduce peri-operative cardio-pulmonary complications.The Case: We report a successful use of robot in a patient with sever kyphoscoliosis for radical prostatectomy. He was a 58 years old male, overweight, with KS and history of cardiac stenting, bilateral total hip replacement. He had prostatic carcinoma. He is on antihypertensive medications, statins and bronchodilator inhalers. Auscultation revealed bronchovascular breathing with left base inspiratory crepitation. He was Mallampati score III [difficult intubation], recurrent chest infection, and severe restriction of respiratory function. The management had been performed under general anesthesia, in the supine-Trendelenburg-Lithotomy position before engaging the robot. The operative intervention showed stability of the patient except an episode of hypertension [an hour after starting surgery]. The total operative time [3 hours, 50 minutes]; the patient then transferred to intensive treatment unit for the next 12 hours. Postoperatively, backache is absent, drain removed 24 hours later; patient discharged after 48 hours, and catheter removed 10 days later. Histological examination showed adenocarcinoma of prostate, 35% of the gland with negative surgical margin. Conclusion:We confirmed that, robotic assisted radical prostatectomy could be handled in Kyphoscoliosis, Ankylosing Spondylitis with satisfactory outcome, irrespective of both technical and anaesthetic difficulties.

show abstract

Kyphoscoliosis—What Can We Do for Respiration besides NIV?

Cited by 8 publications

References 23 publications

Can alveolar hypoventilation due to kyphoscoliosis be a contraindication to driving?

Can alveolar hypoventilation due to kyphoscoliosis be a contraindication to driving?

Long-Term Response to Vasoactive Treatment in a Case of Kyphoscoliosis-Associated Pulmonary Hypertension

Robotic-assisted laparoscopic radical prostatectomy in a patient with sever Kyphoscoliosis, Ankylosing Spondylitis: a case report.

Contact Info

Product

Resources

About