Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case report
The patient, a 55-year-old female presenting with spinal deformity and exertional dyspnea, was referred to the hospital. Radiographic evaluation of her spine revealed an “S”-shaped scoliosis with a Cobb angle measuring 68°, indicative of severe scoliosis. Despite receiving medication for expectorati...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1518935/full |
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| author | Rui Zhai Hairong Su Yaxu Wu Rong Tan Xiaoli Zhang Ye Tian Mei Hu |
| author_facet | Rui Zhai Hairong Su Yaxu Wu Rong Tan Xiaoli Zhang Ye Tian Mei Hu |
| author_sort | Rui Zhai |
| collection | DOAJ |
| description | The patient, a 55-year-old female presenting with spinal deformity and exertional dyspnea, was referred to the hospital. Radiographic evaluation of her spine revealed an “S”-shaped scoliosis with a Cobb angle measuring 68°, indicative of severe scoliosis. Despite receiving medication for expectoration, postoperative symptoms including chest tightness, breathlessness, and ineffective coughing persisted and progressively worsened. Subsequent chest CT scans demonstrated extensive atelectasis, and pharmacological interventions proved to be ineffective. Considering the patient’s clinical condition, we implemented airway clearance technique (ACT) along with prone ventilation to optimize cough effectiveness and mitigate atelectasis formation. The airway clearance techniques (ACT) employed include nebulization, continuous positive expiratory pressure (CPEP), and continuous high frequency oscillation (CHFO). Chest CT imaging confirmed that ACT substantially alleviated the patient’s pulmonary atelectasis. Moreover, blood gas analysis indicated significant improvements in both the PaO2/FiO2 ratio and base excess of whole blood. Follow-up evaluation 1 year post-discharge revealed a favorable prognosis for the patient. We anticipate that our experience utilizing these novel therapeutic modalities will provide valuable insights for clinicians managing similar complications. |
| format | Article |
| id | doaj-art-16db94a5da374c0c8dc3bb43c8c1ac4a |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-16db94a5da374c0c8dc3bb43c8c1ac4a2025-02-11T05:10:23ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.15189351518935Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case reportRui Zhai0Hairong Su1Yaxu Wu2Rong Tan3Xiaoli Zhang4Ye Tian5Mei Hu6Department of Critical Care Medicine, Ninth Medical Center, General Hospital of the People’s Liberation Army, Beijing, ChinaDepartment of Critical Care Medicine, Ninth Medical Center, General Hospital of the People’s Liberation Army, Beijing, ChinaDepartment of Critical Care Medicine, Ninth Medical Center, General Hospital of the People’s Liberation Army, Beijing, ChinaDepartment of Spinal Surgery, Ninth Medical Center, General Hospital of the People’s Liberation Army, Beijing, ChinaDepartment of Critical Care Medicine, Ninth Medical Center, General Hospital of the People’s Liberation Army, Beijing, ChinaDepartment of Critical Care Medicine, Ninth Medical Center, General Hospital of the People’s Liberation Army, Beijing, ChinaDepartment of Critical Care Medicine, Ninth Medical Center, General Hospital of the People’s Liberation Army, Beijing, ChinaThe patient, a 55-year-old female presenting with spinal deformity and exertional dyspnea, was referred to the hospital. Radiographic evaluation of her spine revealed an “S”-shaped scoliosis with a Cobb angle measuring 68°, indicative of severe scoliosis. Despite receiving medication for expectoration, postoperative symptoms including chest tightness, breathlessness, and ineffective coughing persisted and progressively worsened. Subsequent chest CT scans demonstrated extensive atelectasis, and pharmacological interventions proved to be ineffective. Considering the patient’s clinical condition, we implemented airway clearance technique (ACT) along with prone ventilation to optimize cough effectiveness and mitigate atelectasis formation. The airway clearance techniques (ACT) employed include nebulization, continuous positive expiratory pressure (CPEP), and continuous high frequency oscillation (CHFO). Chest CT imaging confirmed that ACT substantially alleviated the patient’s pulmonary atelectasis. Moreover, blood gas analysis indicated significant improvements in both the PaO2/FiO2 ratio and base excess of whole blood. Follow-up evaluation 1 year post-discharge revealed a favorable prognosis for the patient. We anticipate that our experience utilizing these novel therapeutic modalities will provide valuable insights for clinicians managing similar complications.https://www.frontiersin.org/articles/10.3389/fmed.2025.1518935/fullairway clearance techniquesevere scoliosisatelectasispostoperative complications of scoliosiscase report |
| spellingShingle | Rui Zhai Hairong Su Yaxu Wu Rong Tan Xiaoli Zhang Ye Tian Mei Hu Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case report Frontiers in Medicine airway clearance technique severe scoliosis atelectasis postoperative complications of scoliosis case report |
| title | Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case report |
| title_full | Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case report |
| title_fullStr | Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case report |
| title_full_unstemmed | Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case report |
| title_short | Airway clearance technique therapy for atelectasis induced by scoliosis surgery: a case report |
| title_sort | airway clearance technique therapy for atelectasis induced by scoliosis surgery a case report |
| topic | airway clearance technique severe scoliosis atelectasis postoperative complications of scoliosis case report |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1518935/full |
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