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Postoperative pulmonary function in children. Comparison of scoliosis with peripheral surgery

M S Schur, J T Brown, E R Kafer

    The American Review of Respiratory Disease
    |July 1, 1984
    PubMed

    Insights

    Pediatric patients undergoing major reconstructive surgery experience significant reductions in lung volumes, particularly vital capacity, for up to eight days post-operation. Peripheral surgery patients showed no significant lung volume changes.

    Area of Science:

    • Pediatric Surgery
    • Respiratory Physiology
    • Pulmonary Function Testing

    Background:

    • Postoperative pulmonary complications are a concern in pediatric surgical patients.
    • Understanding the impact of surgery type on lung function is crucial for patient management.

    Purpose of the Study:

    • To assess changes in lung volumes and forced expirograms in pediatric patients following surgery.
    • To compare the effects of peripheral versus reconstructive surgery on postoperative respiratory function.

    Main Methods:

    • Measurement of lung volumes, forced expirograms, and arterial blood gases.
    • Comparison of preoperative and postoperative pulmonary function in two surgical groups.
    • Analysis of data from postoperative Days 1 through 8.

    Main Results:

    • Patients undergoing reconstructive scoliosis surgery (Group II) showed significant reductions in total lung capacity and vital capacity preoperatively.
    • Postoperative vital capacity in Group II was reduced to 44% of preoperative values by Days 2-3.
    • While functional residual capacity normalized by Days 5-6, vital capacity remained reduced up to Day 8 in Group II.

    Conclusions:

    • Postoperative lung volume abnormalities are linked to surgery site, magnitude, and pain.
    • Reconstructive surgery, unlike peripheral surgery, leads to persistent reductions in vital capacity.
    • Preoperative respiratory function may influence postoperative outcomes.

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