Progressive decrease in partial pressure of end-tidal CO2 during posterior spinal fusion surgery in a child with idiopathic scoliosis and pectus excavatum: a case report

Placing patients in a prone position poses a risk of cardiac compression, particularly for those with both scoliosis and pectus excavatum. Apart from transesophageal echocardiography, a decrease in P<sub>ET</sub> CO<sub>2</sub> should attract the attention of the surgical team to a possible cardiac compression. Longitudinal bolsters may be recommended in cases like this. Furthermore, a timely decision to return to a supine position is needed when necessary.

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Publication Details

Journal
BMC Musculoskeletal Disorders
Published
2024-12-18
DOI
https://doi.org/10.1186/s12891-024-08176-5
Primary Topic
Shoulder Injury and Treatment
Type
article
Field-Weighted Citation Impact
0.00

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article

Progressive decrease in partial pressure of end-tidal CO2 during posterior spinal fusion surgery in a child with idiopathic scoliosis and pectus excavatum: a case report

Li Zhou, Yan Xu, Chunling Jiang, Yanjun Lin
BMC Musculoskeletal Disorders
Shoulder Injury and Treatment
article

Progressive decrease in partial pressure of end-tidal CO2 during posterior spinal fusion surgery in a child with idiopathic scoliosis and pectus excavatum: a case report

Li Zhou, Yan Xu, Chunling Jiang, Yanjun Lin
article en

Abstract

Placing patients in a prone position poses a risk of cardiac compression, particularly for those with both scoliosis and pectus excavatum. Apart from transesophageal echocardiography, a decrease in P<sub>ET</sub> CO<sub>2</sub> should attract the attention of the surgical team to a possible cardiac compression. Longitudinal bolsters may be recommended in cases like this. Furthermore, a timely decision to return to a supine position is needed when necessary.

BMC Musculoskeletal DisordersVol. 25(1)
Chinese Academy of Medical Sciences & Peking Union Medical College (CN), Sichuan University (CN), West China Medical Center of Sichuan University (CN), West China Hospital of Sichuan University (CN)
Sichuan University, West China Hospital, Sichuan University
Openalex Percentile: Top 57%
Shoulder Injury and Treatment
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