Neuromuscular scoliosis: a case of the pediatric patient in the adult ICU.
Neuromuscular scoliosis can be a problem in children with underlying neuromuscular conditions such as cerebral palsy, spina bifida, and muscular dystrophy. A comprehensive preoperative assessment is essential to provide comprehensive postoperative care. Surgical procedures to correct neuromuscular scoliosis include anterior spinal fusion, posterior spinal fusion, or a combined anterior-posterior spinal fusion. Postoperative problems can include respiratory failure, hemodynamic instability, neurovascular compromise, and pain control. With an understanding of the developmental status of these patients, pediatric patients can be safely managed in an adult ICU.
Mason
K J
KJ
Children's Hospital of Philadelphia, Pennsylvania, USA.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D003422:Critical Care / Q000379:methods*; D006801:Humans; D007362:Intensive Care Units; D009468:Neuromuscular Diseases / Q000150:complications*; D009730:Nursing Assessment / Q000379:methods; D010371:Pediatric Nursing / Q000379:methods; D019990:Perioperative Care / Q000379:methods*; D012600:Scoliosis / Q000209:etiology* / Q000451:nursing* / Q000601:surgery