Diaphragmatic paralysis in extremely low birthweight neonates: Is waiting for spontaneous recovery justified?
| Autor: | S M Jog, S K Patole |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Risk congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Pleural effusion Diaphragmatic breathing Diaphragmatic paralysis Persistent fetal circulation Phrenic Nerve Injury Pregnancy Ductus arteriosus medicine Paralysis Humans Infant Very Low Birth Weight Ductus Arteriosus Patent business.industry Infant Newborn medicine.disease Respiratory Paralysis Surgery Phrenic Nerve Radiography medicine.anatomical_structure Pneumothorax Anesthesia Surgical Procedures Operative Pediatrics Perinatology and Child Health Female Queensland medicine.symptom business |
| Zdroj: | Journal of paediatrics and child health. 38(1) |
| ISSN: | 1034-4810 |
| Popis: | Mortality and morbidity associated with surgical management of patent ductus arteriosus (PDA) in neonates has been reported to vary from 0% to 44%. Complications like pneumothorax, pleural effusion, recurrent nerve and phrenic nerve injury are associated with surgical closure of PDA. An extremely low birthweight neonate with diaphragmatic paralysis following phrenic nerve injury during surgical closure of PDA is reported. Delay in diaphragmatic plication for over two weeks while waiting for spontaneous recovery was associated with significant morbidity including chronic lung disease. The controversies associated with timing of diaphragmatic plication in high-risk neonates are discussed. |
| Databáze: | OpenAIRE |
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