Diaphragmatic paralysis after pediatric cardiac surgery: a retrospective analysis of 34 cases.
Crit Care Med
; 11(4): 280-2, 1983 Apr.
Article
em En
| MEDLINE
| ID: mdl-6339168
ABSTRACT
Thirty-four cases of diaphragmatic paralysis after pediatric cardiac surgery are reviewed. Differences between pediatric and adult pulmonary physiology account for the increased severity of respiratory distress seen in children with this condition. The efficacy of treatment with endotracheal intubation and continuous positive airway pressure (CPAP) is confirmed. No patient over 3 yr of age required intubation for longer than 2 wk. This finding is consistent with the development of sufficient chest wall stability to compensate for paralysis of the hemidiaphragm. Patients under 3 yr of age, without complicating heart failure, who still required intubation and CPAP 3-4 wk after injury to the phrenic nerve should consider operative plication.
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Base de dados:
MEDLINE
Assunto principal:
Paralisia Respiratória
/
Procedimentos Cirúrgicos Cardíacos
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Humans
/
Infant
/
Newborn
Idioma:
En
Ano de publicação:
1983
Tipo de documento:
Article