title: Use of a Vertical Expandable Prosthetic Titanium Rib in Children With Thoracic Insufficiency Syndrome and Scoliosis.
abstract: Thoracic insufficiency syndrome is the inability of the thorax to support normal respiration or lung growth. One treatment to address the thoracic deformities associated with the syndrome is placement of a vertical expandable prosthetic titanium rib. The goal is to restore thoracic volume, symmetry, and function and to allow for growth of the thorax in skeletally immature children. The main topics include indications for placement of a titanium rib, postoperative nursing care, potential complications, long-term follow-up, quality-of-life issues, and implications for critical care nurses and advanced practice nurses.
authors.affiliation: Stephanie L. Watts is a nurse practitioner in the pediatric intensive care unit/progressive care unit at Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. wattss@email.chop.edu.
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Watts
mesh_terms: D000293:Adolescent; D019643:Arthroplasty, Replacement; D002648:Child; D002675:Child, Preschool; D000013:Congenital Abnormalities / Q000601:surgery*; D064648:Critical Care Nursing / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010371:Pediatric Nursing / Q000379:methods*; D011182:Postoperative Care / Q000379:methods*; D012272:Ribs / Q000601:surgery*; D012600:Scoliosis / Q000601:surgery*; D013909:Thorax / Q000002:abnormalities*; D014025:Titanium
chemical_list: D014025:Titanium