Application effect of bedside critical ultrasound in patients with non-idiopathic scoliosis and concomitant severe/extremely severe mixed ventilation dysfunction
ObjectiveTo explore the application effect of bedside critical ultrasound in patients with non-idiopathic scoliosis and concomitant severe/extremely severe mixed ventilation dysfunction. MethodsThe clinical data of 48 patients who underwent spinal deformity correction surgery because of non-idiopathic scoliosis and were admitted to ICU after surgery, were retrospectively analyzed. Patients receiving bedside critical ultrasound intervention during ICU stays were set as experiment group (n=23), while patients who did not receive bedside critical ultrasound intervention as control group (n=25). The mean arterial pressure and blood lactic acid level immediately, 24 hours, 48 hours, and 72 hours after surgery, and fluid replacement volume at the first 24 hours, second 24 hours, and third 24 hours after surgery, as well as puncture drainage time for pleural effusion, mechanical ventilation duration, length of ICU stay, and secondary tracheal intubation were compared between patients of the two groups. ResultsThere was no statistically significant difference in mean arterial pressure immediately, 24 hours, and 72 hours after surgery, and blood lactic acid level at various time points between the two groups (P>0.05). The experiment group exhibited a higher mean arterial pressure 48 hours after surgery as compared with the control group (P<0.05). The volumes of fluid replacement in the experiment group at the first 24 hours, second 24 hours, and third 24 hours after surgery were less than those in the control group (P<0.05). The puncture drainage time for pleural effusion, mechanical ventilation duration of the experiment group were shorter than those of the control group (P<0.05). The length of ICU stay in the experiment group was shorter than that in the control group, and incidence rate of secondary tracheal intubation was lower than that in the control group, but the difference was not statistically significant (P>0.05). ConclusionThe application of bedside critical ultrasound to postoperative management of patients with non-idiopathic scoliosis and concomitant severe/extremely severe mixed ventilation dysfunction can reduce postoperative fluid replacement volume, shorten puncture drainage time for pleural effusion and mechanical ventilation duration without affecting effect of resuscitation, which is helpful to ameliorate patients′ prognosis.