Section 9: Home mechanical ventilation in children with kyphoscoliosis

Amin, Reshma; Adderley, Robert J.

doi:10.1080/24745332.2018.1494985

Cited by 3 publications

(6 citation statements)

References 47 publications

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“…A review of the existing literature showed that nearly one quarter (24%) of children undergoing spinal fusion surgery required prolonged mechanical ventilation (>36 h). 13,16 Though the results were not consistent across all studies, three studies showed an association between lower FVC percent predicted and prolonged ventilatory requirements. [17][18][19] The FVC range at risk reported by the various studies varied from a mean FVC of 34% to <60% predicted.…”

Section: Children With Scoliosis and Chest Wall Deformitymentioning

confidence: 90%

“…18,19 Other risk factors suggested by the literature included surgical approach, length of vertebral fusion, neuromuscular disease, older age, and male sex. 13,16…”

Section: Children With Scoliosis and Chest Wall Deformitymentioning

confidence: 99%

“…While hypercapnia and NIV use are uncommon in isolated scoliosis, prolonged mechanical ventilation following surgery, particularly postscoliosis repair, can occur. A review of the existing literature showed that nearly one quarter (24%) of children undergoing spinal fusion surgery required prolonged mechanical ventilation (>36 h) 13,16 . Though the results were not consistent across all studies, three studies showed an association between lower FVC percent predicted and prolonged ventilatory requirements 17–19 .…”

Section: Recognizing At‐risk Populationsmentioning

confidence: 99%

“…The FVC range at risk reported by the various studies varied from a mean FVC of 34% to <60% predicted 18,19 . Other risk factors suggested by the literature included surgical approach, length of vertebral fusion, neuromuscular disease, older age, and male sex 13,16 …”

Section: Recognizing At‐risk Populationsmentioning

confidence: 99%

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Respiratory prehabilitation in pediatric anesthesia in children with muscular and neurologic disease

St‐Laurent

Zysman-Colman

Zielinski

2021

Pediatric Anesthesia

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Children with chronic neurologic and chest wall diseases are at increased risk of postoperative respiratory complications. These complications include acute respiratory failure, atelectasis, pneumonia, need for reintubation, and need for tracheostomy and can carry significant negative impacts on patient outcomes, including mortality, and increased healthcare resource utilization. 1 As such, careful examination of risk factors in these complex children should be initiated in order to plan appropriate preoperative and postoperative interventions that help mitigate postoperative respiratory complications. Such interventions may preoperatively include initiation of respiratory support devices such as non-invasive ventilation (NIV) and airway clearance techniques and/or a plan

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Section: Children With Scoliosis and Chest Wall Deformitymentioning

confidence: 90%

“…18,19 Other risk factors suggested by the literature included surgical approach, length of vertebral fusion, neuromuscular disease, older age, and male sex. 13,16…”

Section: Children With Scoliosis and Chest Wall Deformitymentioning

confidence: 99%

Section: Recognizing At‐risk Populationsmentioning

confidence: 99%

Section: Recognizing At‐risk Populationsmentioning

confidence: 99%

See 2 more Smart Citations

Respiratory prehabilitation in pediatric anesthesia in children with muscular and neurologic disease

St‐Laurent

Zysman-Colman

Zielinski

2021

Pediatric Anesthesia

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“…The most common sequela of scoliosis is progressive pulmonary restriction leading to impaired pulmonary function 1 . This contributes to pulmonary complications being the most common postoperative problem for patients undergoing corrective scoliosis surgery, particularly in patients with neuromuscular conditions 2‐4 . A forced vital capacity (FVC) value less than 40% predicted indicates severe respiratory compromise that carries a high risk of postoperative pulmonary complications 3,5 …”

Section: Introdcutionmentioning

confidence: 99%

Risk factors for postoperative pulmonary complications in children with severely compromised pulmonary function secondary to severe scoliosis

Al-Iede

Al-Zayadneh

Bridge

et al. 2020

Pediatric Pulmonology

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Objectives After corrective surgery for scoliosis, postoperative pulmonary complications lead to increases in morbidity, length of hospital stay (LOS) and mortality. This study aimed to identify associations with such respiratory complications, and to assess the utility of noninvasive ventilation (NIV) in children with severe scoliosis Methods This retrospective cohort study included all children aged ≤17 years who underwent spinal surgery for scoliosis between January 2009 and January 2012 at a quaternary pediatric hospital. Data were collated regarding polysomnography (PSG) and NIV use, before and after corrective surgery. Factors associated with severely compromised pulmonary function (SCPF) were established and correlations with the occurrence of postoperative pulmonary complications and LOS were identified. Results Altogether, 133 children had corrective surgery for scoliosis, aged 12.7 (range: 2‐17) years at operation. Scoliosis causes were identified as: idiopathic (39.8%), neuromuscular disease (32.2%), syndrome (15.7%), and congenital (12%). Correlates with SCPF (forced vital capacity [FVC] <40% predicted, n = 10) included markers of sleep hypoventilation, including serum bicarbonate ≥29 mmol/L, morning pCO2 > 50mm Hg (P = .003), and overnight, episodic CO2 retention of >7 mm Hg. Using these parameters an additional eight children with SCPF were identified making a total of 18 out of 133 (13.5%) of the patients. Postoperative pulmonary complications were seen in 24 children (18%) and their occurrence correlated with higher Cobb angle (>90°), lower pulmonary function (FVC), higher serum bicarbonate and underlying neuromuscular disease. Amongst the 18 children with SCPF, regular use of NIV preoperatively was associated with reduced rate of postoperative pulmonary complications (P = .02) and reduced LOS by 6.4 days (P = .01). Conclusion Nocturnal hypoventilation on PSG identifies children with SCPF. Use of NIV in children with SCPF was linked to fewer postoperative pulmonary complications and reduced duration of hospital stay.

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Management of acute respiratory failure in neuromuscular disease

St‐Laurent¹,

Zielinski²

2023

Pulmonary Assessment and Management of Patients With Pediatric Neuromuscular Disease

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Section 9: Home mechanical ventilation in children with kyphoscoliosis

Cited by 3 publications

References 47 publications

Respiratory prehabilitation in pediatric anesthesia in children with muscular and neurologic disease

Respiratory prehabilitation in pediatric anesthesia in children with muscular and neurologic disease

Risk factors for postoperative pulmonary complications in children with severely compromised pulmonary function secondary to severe scoliosis

Management of acute respiratory failure in neuromuscular disease

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