What should I pay attention to during surgery for congenital scoliosis?

What should I pay attention to during surgery for congenital scoliosis?

Congenital scoliosis is caused by abnormal vertebrae in the body. It is a body shape abnormality. Congenital scoliosis can usually be treated with surgery. There are also many things that patients need to pay attention to when undergoing congenital scoliosis surgery, such as some preoperative and postoperative preparations.

1. Complete preoperative examinations. In addition to spinal examinations, various cardiopulmonary function examinations must be completed carefully, including breath-holding tests, comprehensive and systematic special auxiliary examinations, chest X-rays, electrocardiograms, routine blood system and drug allergy tests, and cross-matching of blood in preparation for blood transfusions during surgery.

2. Preoperative pulmonary function training and other preparations Scoliosis often leads to varying degrees of reduced lung function. Therefore, one week before surgery, nurses should instruct patients to take deep breaths and perform lung exercises such as blowing balloons 3-4 times a day, 20-30 minutes per time, to increase lung capacity, improve lung function, and reduce postoperative complications. At the same time, the patient is required to perform lying posture, urination and defecation in bed, and active limb movement training to prepare for the corrective surgery.

3. Prepare and pay attention to improving the patient's body's ability to resist infection after surgery. Strengthen nutrition in diet and add more high-calorie, high-protein, high-vitamin foods.

4. Postoperative patient transportation and observation of vital signs When the patient returns to the ward after the operation, he/she should be carried correctly and carefully to the bed by 3 to 4 people. The movements must be coordinated and the spine should be kept horizontal without twisting to prevent breaking of rods or pulling out of nails. For those who have not woken up from general anesthesia, the head should be tilted to one side to prevent choking and suffocation caused by aspiration of vomitus. Continuous ECG monitoring and low-flow oxygen inhalation should be performed, and the patient's vital signs should be closely observed and the blood oxygen saturation should be monitored.

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