OBJECTIVE: To review the incidence and complications of conservative management of bilateral diaphragm paralysis following pediatric cardiac surgery. DESIGN AND SETTING: Retrospective clinical review based on computerized database with daily follow-up in a pediatric cardiac intensive care unit in a tertiary care center. PATIENT AND PARTICIPANTS: Were reviewed the data on nine patients with bilateral diaphragm paralysis from the 3,214 consecutive children (0.28%) after operations performed between 1995 and 2004. MEASUREMENTS AND RESULTS: A fluoroscopy-confirmed diagnosis of bilateral diaphragm paralysis was made in all nine patients. Mechanical ventilation was required for 14-62 days; maximum time to recovery was 7 weeks. Three patients underwent unilateral plication. Patients with a complicated postoperative course required longer mechanical ventilation. All patients were managed with a nasotracheal tube. One patient had minor subglottic stenosis. All patients survived. CONCLUSIONS: Bilateral diaphragm paralysis can be managed conservatively with good prognosis and minor complications. The recovery time is relatively short, less than 7 weeks.
OBJECTIVE: To review the incidence and complications of conservative management of bilateral diaphragm paralysis following pediatric cardiac surgery. DESIGN AND SETTING: Retrospective clinical review based on computerized database with daily follow-up in a pediatric cardiac intensive care unit in a tertiary care center. PATIENT AND PARTICIPANTS: Were reviewed the data on nine patients with bilateral diaphragm paralysis from the 3,214 consecutive children (0.28%) after operations performed between 1995 and 2004. MEASUREMENTS AND RESULTS: A fluoroscopy-confirmed diagnosis of bilateral diaphragm paralysis was made in all nine patients. Mechanical ventilation was required for 14-62 days; maximum time to recovery was 7 weeks. Three patients underwent unilateral plication. Patients with a complicated postoperative course required longer mechanical ventilation. All patients were managed with a nasotracheal tube. One patient had minor subglottic stenosis. All patients survived. CONCLUSIONS: Bilateral diaphragm paralysis can be managed conservatively with good prognosis and minor complications. The recovery time is relatively short, less than 7 weeks.
Authors: T Watanabe; G A Trusler; W G Williams; J F Edmonds; J G Coles; Y Hosokawa Journal: J Thorac Cardiovasc Surg Date: 1987-09 Impact factor: 5.209
Authors: Peter Andrews; Elie Azoulay; Massimo Antonelli; Laurent Brochard; Christian Brun-Buisson; Daniel De Backer; Geoffrey Dobb; Jean-Yves Fagon; Herwig Gerlach; Johan Groeneveld; Duncan Macrae; Jordi Mancebo; Philipp Metnitz; Stefano Nava; Jerôme Pugin; Michael Pinsky; Peter Radermacher; Christian Richard Journal: Intensive Care Med Date: 2007-02-14 Impact factor: 17.440
Authors: A F Mead; M Petrov; A S Malik; M A Mitchell; M K Childers; J R Bogan; G Seidner; J N Kornegay; H H Stedman Journal: J Appl Physiol (1985) Date: 2014-01-09
Authors: Julia Lemmer; Brigitte Stiller; Grit Heise; Vladimir Alexi-Meskishvili; Michael Hübler; Yuguo Weng; Felix Berger Journal: Intensive Care Med Date: 2007-06-07 Impact factor: 17.440