Severe Pneumonia in Severe Kyphoscoliosis: A Non-Invasive Ventilation as a Weaning Strategy

Abstract

Severe kyphoscoliosis, characterized by a combined deformity of kyphosis and scoliosis, presents a unique challenge to respiratory function, predisposing individuals to heightened susceptibility to respiratory complications. We present a case report detailing the management of severe pneumonia in a 37-year-old lady with severe kyphoscoliosis, shedding light on the complexities of this clinical scenario and the pivotal role of non-invasive ventilation (NIV) as a weaning strategy. The patient's pre-existing severe kyphoscoliosis posed significant respiratory limitations, leading to restrictive lung disease and impaired pulmonary function. Hospitalization was necessitated by severe pneumonia, and the intricate relationship between the spinal deformity and the respiratory infection became apparent. The compromised chest wall mechanics and reduced lung compliance in severe kyphoscoliosis exacerbated the challenges of managing the severe pneumonia. A comprehensive approach was undertaken, emphasizing the judicious use of NIV as a weaning strategy from mechanical ventilation. NIV served not only as a supportive measure but also as a strategic tool in optimizing alveolar ventilation and reducing the work of breathing. The case highlights the successful application of NIV in navigating the intricacies of weaning in the context of severe pneumonia and severe kyphoscoliosis.