This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Nan Wu
Peking Union Medical College Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9429-2889
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, hereditary, sensory autonomic neuropathy. There are few reports on CIPA combined with Charcot spine. Operation is a most effective method for CIPA patients who combine with Charcot spine, but those patients are easy to get hyperthermia and internal fixation failure after operation. Patients’ deficit teeth also make nutrition management difficult. In order to help patients to avoid these problems, we designed a series of preoperative and postoperative nursing means: 1. Rectal temperature monitoring and Temperature control 2. Use new posture management 3. Assess the nutritional status of patients and make a diet plan. In this study, we aimed to evaluate the effect of these nursing means.
Methods
We retrospectively analysed the records of 3 CIPA patients combined with Charcot spine who accepted our nursing means to examine the effect of the nursing means.
Results
Rectal thermometry was more accurate than axillary thermometry. Physical cooling prevented hyperthermia for CIPA patients after operation. None of 3 patients had internal fixation failure. The BMI of one patient was only 14.0(malnutrition) before surgery, through nutritional intervention, all 3 patients’ serum albumin levels returned to normal before discharge from the hospital.
Conclusions
In summary, this study has made a lot of suggestions that can improve the prognosis of CIPA patients with Charcot spine.
Keywords
Congenital insensitivity to pain with anhidrosis (CIPA), Charcot spine, Nursing care, Temperature monitoring, Posture management
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Nan Wu
Peking Union Medical College Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9429-2889
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 05 Jan, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Internal Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, hereditary, sensory autonomic neuropathy. There are few reports on CIPA combined with Charcot spine. Operation is a most effective method for CIPA patients who combine with Charcot spine, but those patients are easy to get hyperthermia and internal fixation failure after operation. Patients’ deficit teeth also make nutrition management difficult. In order to help patients to avoid these problems, we designed a series of preoperative and postoperative nursing means: 1. Rectal temperature monitoring and Temperature control 2. Use new posture management 3. Assess the nutritional status of patients and make a diet plan. In this study, we aimed to evaluate the effect of these nursing means.
Methods
We retrospectively analysed the records of 3 CIPA patients combined with Charcot spine who accepted our nursing means to examine the effect of the nursing means.
Results
Rectal thermometry was more accurate than axillary thermometry. Physical cooling prevented hyperthermia for CIPA patients after operation. None of 3 patients had internal fixation failure. The BMI of one patient was only 14.0(malnutrition) before surgery, through nutritional intervention, all 3 patients’ serum albumin levels returned to normal before discharge from the hospital.
Conclusions
In summary, this study has made a lot of suggestions that can improve the prognosis of CIPA patients with Charcot spine.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Loading...