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The prognostic value of pre‐operative predicted forced vital capacity in corrective spinal surgery for Duchenne's muscular dystrophy
Author(s) -
Harper C. M.,
Ambler G.,
Edge G.
Publication year - 2004
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2004.03940.x
Subject(s) - medicine , vital capacity , duchenne muscular dystrophy , muscular dystrophy , spinal surgery , spinal muscular atrophy , surgery , scoliosis , corrective surgery , quality of life (healthcare) , anesthesia , vital signs , disease , lung , nursing , lung function , diffusing capacity
Summary The majority of patients with Duchenne's muscular dystrophy require corrective spinal surgery for scoliosis to maintain seated balance and to slow the progression of respiratory compromise, thereby facilitating nursing and enhancing their quality of life. Traditionally patients with a pre‐operative forced vital capacity (PFVC) of 30% or below predicted have been denied this surgery as it was thought that the incidence of postoperative complications was unacceptably high. We present data collected prospectively from 45 consecutive operations undertaken in our unit. These cases indicate that there is no clinically significant difference in operative and postoperative outcomes between patients with PFVC > 30% and ≤30%. However, the routine postoperative use of mask ventilation to facilitate early tracheal extubation is vital.