49th Annual Meeting of the AANS/CNS Section on Pediatric Neurological Surgery Archive-Protocol-Driven Early Tracheal Extubation in Patients with Flaccid Neuromuscular Scoliosis and Pre-Existing Lung Disease

Protocol-Driven Early Tracheal Extubation in Patients with Flaccid Neuromuscular Scoliosis and Pre-Existing Lung Disease - Jeffrey Bejan Hatef Jr., MD

Video Transcription

Video Summary

The video discusses a protocol-driven approach to early extubation in patients with flaccid neuromuscular scoliosis and pre-existing lung disease. The protocol involves a multidisciplinary approach and patients are extubated directly to BiPAP in the ICU after surgery. A retrospective review was conducted, including patients with muscular dystrophy and spinal muscular atrophy. Results showed that immediate extubation appeared to be safe with only three complications and one reintubation. Limitations of the study include its retrospective nature, small cohorts, historical controls, and a single center study. However, the data suggests that immediate extubation is a preferred treatment modality in these children. No credits were mentioned.

Keywords

early extubation

flaccid neuromuscular scoliosis

pre-existing lung disease

multidisciplinary approach

BiPAP