engleski

Difficult airway and respiration in pediatric patients with spine deformities

BACKGROUND: Individual experience is limited in the treatment of spine abnormality and seldom discussed in detail in the orthopedic literature. For a successful outcome in the treatment of spinal deformity, a working knowledge of the unique pitfalls in their medical care is necessary in order to avoid morbidity and mortality during their treatment. The aim of this study are to emphasize important medical considerations that influence the choice of surgical treatment in patients with spinal deformity and point out preoperative strategies that reduce treatment morbidity and mortality of these patients. METHODS: The author's personal 25-years experience of the perioperative treatment of scoliosis surgery and respiratory function in the relevant spinal deformity was summarized. RRESULTS: The site and apex of the thoracic curve determined by spine X-ray. Only upper thoracic scoliosis with the apex between T5-T8, and with Cobb angle of more than 70 correlated (r = -1 ) with restrictive ventilation disorder (P>0, 05). The improvement in PaO2 (P>0, 05) are results of surgically correction of the scoliotic curve (52%). DISCUSSION AND CONCLUSION: For optimal patient care, it is necessary to have a clear understanding of scoliosis and respiratory function and how they may impact on both the presentation of spinal deformity and the response to treatment, as well as how they may introduce additional morbidity into standard treatment plans. It is clear that with this understanding that preoperative strategies can be employed to enhance the safety of spinal treatment for these unique children.

Difficult airway, Respiration, pediatric patients, spine deformities

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