Perioperative concerns in pediatric patients u10/1/2013ndergoing different types of scoliosis correction surgery : A retrospective observational study
BACKGROUND: Advances in scoliosis surgery have now made it possible for younger patients to be taken up for scoliosis correction.
OBJECTIVES: To ascertain the patient profile, perioperative complications and need for intensive care management in children undergoing posterior fusion and instrumentation (PF), anterior release (AR), and growth rod (GR) insertion surgery.
PATIENTS AND METHODS: After taking parental consent, data were collected retrospectively for 33 patients who underwent 37 procedures (four patients had both anterior and posterior procedures) on 2 days of the week mainly from August 2008 to February 2010 at a tertiary care institution.
RESULTS: Children undergoing GR surgery were younger (8.1 ± 2.1 years) than patients undergoing AR (12.9 ± 1.7 years) or posterior fusion (14.2 ± 2.2 years). AR children had a significantly higher Cobb's angle and more rigid curves. (P = 0.057) Associated congenital abnormalities especially neurological were commoner in the GR children. Surgical duration and blood loss was significantly more for PF (2207.5 ± 1224.13 ml) than GR (456 ± 337.5 ml), or AR (642.85 ± 304.72 ml), (P = 0.0002). PF patients needed Intensive care unit (ICU) care mainly due to the blood loss and prolonged surgery (35%). AR performed via thoracotomy was associated with the need for mechanical ventilation in 28.6%. The GR patients had major intraoperative hemodynamic events and 20% needed ICU care.
CONCLUSIONS: Post-operative ventilation may be required in 20-35% patients undergoing procedures for scoliosis correction. Despite GR insertion involving lesser blood loss; younger age, congenital abnormalities, positioning, and surgical manipulation resulted in life threatening events in these patients.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2013 |
|---|---|
| Erschienen: |
2013 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
|---|---|
| Enthalten in: |
Journal of anaesthesiology, clinical pharmacology - 29(2013), 3 vom: 08. Juli, Seite 323-7 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Chhabra, Anjolie [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Anesthesia for scoliosis surgery |
|---|
| Anmerkungen: |
Date Completed 09.10.2013 Date Revised 21.10.2021 published: Print Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.4103/0970-9185.117072 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM231517157 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM231517157 | ||
| 003 | DE-627 | ||
| 005 | 20231224090922.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231224s2013 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.4103/0970-9185.117072 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0771.xml |
| 035 | |a (DE-627)NLM231517157 | ||
| 035 | |a (NLM)24106355 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Chhabra, Anjolie |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Perioperative concerns in pediatric patients u10/1/2013ndergoing different types of scoliosis correction surgery |b A retrospective observational study |
| 264 | 1 | |c 2013 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 09.10.2013 | ||
| 500 | |a Date Revised 21.10.2021 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a BACKGROUND: Advances in scoliosis surgery have now made it possible for younger patients to be taken up for scoliosis correction | ||
| 520 | |a OBJECTIVES: To ascertain the patient profile, perioperative complications and need for intensive care management in children undergoing posterior fusion and instrumentation (PF), anterior release (AR), and growth rod (GR) insertion surgery | ||
| 520 | |a PATIENTS AND METHODS: After taking parental consent, data were collected retrospectively for 33 patients who underwent 37 procedures (four patients had both anterior and posterior procedures) on 2 days of the week mainly from August 2008 to February 2010 at a tertiary care institution | ||
| 520 | |a RESULTS: Children undergoing GR surgery were younger (8.1 ± 2.1 years) than patients undergoing AR (12.9 ± 1.7 years) or posterior fusion (14.2 ± 2.2 years). AR children had a significantly higher Cobb's angle and more rigid curves. (P = 0.057) Associated congenital abnormalities especially neurological were commoner in the GR children. Surgical duration and blood loss was significantly more for PF (2207.5 ± 1224.13 ml) than GR (456 ± 337.5 ml), or AR (642.85 ± 304.72 ml), (P = 0.0002). PF patients needed Intensive care unit (ICU) care mainly due to the blood loss and prolonged surgery (35%). AR performed via thoracotomy was associated with the need for mechanical ventilation in 28.6%. The GR patients had major intraoperative hemodynamic events and 20% needed ICU care | ||
| 520 | |a CONCLUSIONS: Post-operative ventilation may be required in 20-35% patients undergoing procedures for scoliosis correction. Despite GR insertion involving lesser blood loss; younger age, congenital abnormalities, positioning, and surgical manipulation resulted in life threatening events in these patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Anesthesia for scoliosis surgery | |
| 650 | 4 | |a growth rod insertion surgery | |
| 650 | 4 | |a perioperative complications | |
| 700 | 1 | |a Arora, Mahesh Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Baidya, Dalim Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Talawar, Praveen |e verfasserin |4 aut | |
| 700 | 1 | |a Singh, Preet Mohinder |e verfasserin |4 aut | |
| 700 | 1 | |a Jayswal, Arvind |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of anaesthesiology, clinical pharmacology |d 1998 |g 29(2013), 3 vom: 08. Juli, Seite 323-7 |w (DE-627)NLM094585415 |x 0970-9185 |7 nnns |
| 773 | 1 | 8 | |g volume:29 |g year:2013 |g number:3 |g day:08 |g month:07 |g pages:323-7 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.4103/0970-9185.117072 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 29 |j 2013 |e 3 |b 08 |c 07 |h 323-7 | ||