Noninvasive Ventilation in Respiratory Type II Failure in a Severe Kyphoscoliosis Patient
Kyphoscoliosis, a severe chest wall deformity, can lead to chronic hypoventilation and type II respiratory failure due to compromised respiratory mechanics. Noninvasive ventilation (NIV) has become an effective therapeutic intervention in managing chronic respiratory failure secondary to neuromuscul...
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| Format: | Article |
| Language: | English |
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Romanian Association of Balneology, Editura Balneara
2025-06-01
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| Series: | Balneo and PRM Research Journal |
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| Online Access: | https://bioclima.ro/Balneo822.pdf |
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| author | Bianca Gergely Domokos Hancu Doina Todea |
| author_facet | Bianca Gergely Domokos Hancu Doina Todea |
| author_sort | Bianca Gergely Domokos Hancu |
| collection | DOAJ |
| description | Kyphoscoliosis, a severe chest wall deformity, can lead to chronic hypoventilation and type II respiratory failure due to compromised respiratory mechanics. Noninvasive ventilation (NIV) has become an effective therapeutic intervention in managing chronic respiratory failure secondary to neuromuscular disease (NMD) and thoracic cage abnormalities. We present the case of a patient with advanced kyphoscoliosis who developed acute respiratory failure (ARF) and was successfully managed with NIV. This case emphasizes the importance of individualized anticipatory care planning, appropriate NIV initiation, and optimal ventilator settings in patients with restrictive thoracic disorders. After NIV initiation the patients arterial blood gas has shown significant improvement. The initial plan of NIV included 2 sessions of two hours/day and during the whole night and at discharge the patient was recommended nocturnal NIV. The arterial blood gas analysis has shown a reduction of paCo2 from 62mmHg to 45 mmHg. |
| format | Article |
| id | doaj-art-db5d3ddc48664e2ebf920923b897a051 |
| institution | Kabale University |
| issn | 2734-8458 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Romanian Association of Balneology, Editura Balneara |
| record_format | Article |
| series | Balneo and PRM Research Journal |
| spelling | doaj-art-db5d3ddc48664e2ebf920923b897a0512025-08-20T03:51:24ZengRomanian Association of Balneology, Editura BalnearaBalneo and PRM Research Journal2734-84582025-06-0116282210.12680/balneo.2025.822Noninvasive Ventilation in Respiratory Type II Failure in a Severe Kyphoscoliosis PatientBianca Gergely Domokos Hancu 0Doina Todea1Iuliu Hatieganu Cluj Napoca Medical University: Pulmonology Department Cluj Napoca, RomaniaIuliu Hatieganu Cluj Napoca Medical University: Pulmonology Department Cluj Napoca, RomaniaKyphoscoliosis, a severe chest wall deformity, can lead to chronic hypoventilation and type II respiratory failure due to compromised respiratory mechanics. Noninvasive ventilation (NIV) has become an effective therapeutic intervention in managing chronic respiratory failure secondary to neuromuscular disease (NMD) and thoracic cage abnormalities. We present the case of a patient with advanced kyphoscoliosis who developed acute respiratory failure (ARF) and was successfully managed with NIV. This case emphasizes the importance of individualized anticipatory care planning, appropriate NIV initiation, and optimal ventilator settings in patients with restrictive thoracic disorders. After NIV initiation the patients arterial blood gas has shown significant improvement. The initial plan of NIV included 2 sessions of two hours/day and during the whole night and at discharge the patient was recommended nocturnal NIV. The arterial blood gas analysis has shown a reduction of paCo2 from 62mmHg to 45 mmHg.https://bioclima.ro/Balneo822.pdfkyphoscoliosistype ii respiratory failurenoninvasive ventilationchest wall disor-derschronic hypoventilationanticipatory care plan |
| spellingShingle | Bianca Gergely Domokos Hancu Doina Todea Noninvasive Ventilation in Respiratory Type II Failure in a Severe Kyphoscoliosis Patient Balneo and PRM Research Journal kyphoscoliosis type ii respiratory failure noninvasive ventilation chest wall disor-ders chronic hypoventilation anticipatory care plan |
| title | Noninvasive Ventilation in Respiratory Type II Failure in a Severe Kyphoscoliosis Patient |
| title_full | Noninvasive Ventilation in Respiratory Type II Failure in a Severe Kyphoscoliosis Patient |
| title_fullStr | Noninvasive Ventilation in Respiratory Type II Failure in a Severe Kyphoscoliosis Patient |
| title_full_unstemmed | Noninvasive Ventilation in Respiratory Type II Failure in a Severe Kyphoscoliosis Patient |
| title_short | Noninvasive Ventilation in Respiratory Type II Failure in a Severe Kyphoscoliosis Patient |
| title_sort | noninvasive ventilation in respiratory type ii failure in a severe kyphoscoliosis patient |
| topic | kyphoscoliosis type ii respiratory failure noninvasive ventilation chest wall disor-ders chronic hypoventilation anticipatory care plan |
| url | https://bioclima.ro/Balneo822.pdf |
| work_keys_str_mv | AT biancagergelydomokoshancu noninvasiveventilationinrespiratorytypeiifailureinaseverekyphoscoliosispatient AT doinatodea noninvasiveventilationinrespiratorytypeiifailureinaseverekyphoscoliosispatient |