Postoperative Unilateral Diaphragmatic Paralysis in Children, a Plea for Early Plication
Summary Unilateral diaphragmatic paralysis (UDP) is not an uncommon occurrence after cardiovascular operations. Its incidence in the pediatric age group is at least 1.5%, and severely symptomatic (for example: requiring mechanical Ventilation) patients account for about one third of the cases. We ha...
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| Veröffentlicht in: | The Thoracic and cardiovascular surgeon 1991-08, Vol.39 (4), p.221-223 |
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| container_title | The Thoracic and cardiovascular surgeon |
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| creator | Yellin, A. Lieberman, Y. Barzilay, Z. |
| description | Summary
Unilateral diaphragmatic paralysis (UDP) is not an uncommon occurrence after cardiovascular operations. Its incidence in the pediatric age group is at least 1.5%, and severely symptomatic (for example: requiring mechanical Ventilation) patients account for about one third of the cases. We have encountered four such cases among 850 children (0.5%) undergoing cardiovascular procedures, and have treated two additional patients. All required prolonged intubation and mechanical ventilation. Diaphragmatic plication in five was performed rather late in the course of their illness, after 21-120 days mechanical Ventilation, and was successful in three who survived, allowing weaning from Ventilation within 3-6 days. The procedure itself is simple and safe. We recommend that diaphragmatic plication be performed early in children with UDP and weaning difficulties. |
| doi_str_mv | 10.1055/s-2007-1022714 |
| format | Article |
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Unilateral diaphragmatic paralysis (UDP) is not an uncommon occurrence after cardiovascular operations. Its incidence in the pediatric age group is at least 1.5%, and severely symptomatic (for example: requiring mechanical Ventilation) patients account for about one third of the cases. We have encountered four such cases among 850 children (0.5%) undergoing cardiovascular procedures, and have treated two additional patients. All required prolonged intubation and mechanical ventilation. Diaphragmatic plication in five was performed rather late in the course of their illness, after 21-120 days mechanical Ventilation, and was successful in three who survived, allowing weaning from Ventilation within 3-6 days. The procedure itself is simple and safe. We recommend that diaphragmatic plication be performed early in children with UDP and weaning difficulties.</description><identifier>ISSN: 0171-6425</identifier><identifier>EISSN: 1439-1902</identifier><identifier>DOI: 10.1055/s-2007-1022714</identifier><identifier>PMID: 1948971</identifier><language>eng</language><publisher>Germany</publisher><subject>Adolescent ; Cardiac Surgical Procedures ; Child ; Child, Preschool ; Diaphragm - surgery ; Humans ; Infant ; Methods ; Postoperative Complications - diagnosis ; Postoperative Complications - surgery ; Respiratory Paralysis - diagnosis ; Respiratory Paralysis - etiology ; Respiratory Paralysis - surgery ; Time Factors</subject><ispartof>The Thoracic and cardiovascular surgeon, 1991-08, Vol.39 (4), p.221-223</ispartof><rights>Georg Thieme Verlag Stuttgart · New York</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-6ee4be60d7d92a289ec5ea410a53b44e9d44e3b5f7725751479d90663629f3443</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-1022714.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,780,784,3017,3018,27924,27925,54559</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1948971$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yellin, A.</creatorcontrib><creatorcontrib>Lieberman, Y.</creatorcontrib><creatorcontrib>Barzilay, Z.</creatorcontrib><title>Postoperative Unilateral Diaphragmatic Paralysis in Children, a Plea for Early Plication</title><title>The Thoracic and cardiovascular surgeon</title><addtitle>Thorac cardiovasc Surg</addtitle><description>Summary
Unilateral diaphragmatic paralysis (UDP) is not an uncommon occurrence after cardiovascular operations. Its incidence in the pediatric age group is at least 1.5%, and severely symptomatic (for example: requiring mechanical Ventilation) patients account for about one third of the cases. We have encountered four such cases among 850 children (0.5%) undergoing cardiovascular procedures, and have treated two additional patients. All required prolonged intubation and mechanical ventilation. Diaphragmatic plication in five was performed rather late in the course of their illness, after 21-120 days mechanical Ventilation, and was successful in three who survived, allowing weaning from Ventilation within 3-6 days. The procedure itself is simple and safe. We recommend that diaphragmatic plication be performed early in children with UDP and weaning difficulties.</description><subject>Adolescent</subject><subject>Cardiac Surgical Procedures</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diaphragm - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Methods</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - surgery</subject><subject>Respiratory Paralysis - diagnosis</subject><subject>Respiratory Paralysis - etiology</subject><subject>Respiratory Paralysis - surgery</subject><subject>Time Factors</subject><issn>0171-6425</issn><issn>1439-1902</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UM9LwzAUDqLMOb16E3LyZGeSJk1zlDl_wMAdHHgLafvqMtJ2Jq2w_95IB568vMf3vh_wPoSuKZlTIsR9SBghMqGEMUn5CZpSnqqEKsJO0ZRQSZOMM3GOLkLYEUJ5nqsJmlDFcyXpFH2su9B3e_Cmt9-AN611po_I4Udr9ltvPpvIlHht4u0QbMC2xYutdZWH9g4bvHZgcN15vDTeHSK0ZTR07SU6q40LcHXcM7R5Wr4vXpLV2_Pr4mGVlJylfZIB8AIyUslKMcNyBaUAwykxIi04B1XFkRailpIJKSiXqlIky9KMqTrlPJ2h2zF377uvAUKvGxtKcM600A1BS8YlFyyPwvkoLH0Xgoda771tjD9oSvRvlTro3yr1scpouDkmD0UD1Z987C7yycj3WwsN6F03-Da--l_eDyApe_w</recordid><startdate>19910801</startdate><enddate>19910801</enddate><creator>Yellin, A.</creator><creator>Lieberman, Y.</creator><creator>Barzilay, Z.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19910801</creationdate><title>Postoperative Unilateral Diaphragmatic Paralysis in Children, a Plea for Early Plication</title><author>Yellin, A. ; Lieberman, Y. ; Barzilay, Z.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-6ee4be60d7d92a289ec5ea410a53b44e9d44e3b5f7725751479d90663629f3443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adolescent</topic><topic>Cardiac Surgical Procedures</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diaphragm - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Methods</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - surgery</topic><topic>Respiratory Paralysis - diagnosis</topic><topic>Respiratory Paralysis - etiology</topic><topic>Respiratory Paralysis - surgery</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yellin, A.</creatorcontrib><creatorcontrib>Lieberman, Y.</creatorcontrib><creatorcontrib>Barzilay, Z.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Thoracic and cardiovascular surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yellin, A.</au><au>Lieberman, Y.</au><au>Barzilay, Z.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative Unilateral Diaphragmatic Paralysis in Children, a Plea for Early Plication</atitle><jtitle>The Thoracic and cardiovascular surgeon</jtitle><addtitle>Thorac cardiovasc Surg</addtitle><date>1991-08-01</date><risdate>1991</risdate><volume>39</volume><issue>4</issue><spage>221</spage><epage>223</epage><pages>221-223</pages><issn>0171-6425</issn><eissn>1439-1902</eissn><abstract>Summary
Unilateral diaphragmatic paralysis (UDP) is not an uncommon occurrence after cardiovascular operations. Its incidence in the pediatric age group is at least 1.5%, and severely symptomatic (for example: requiring mechanical Ventilation) patients account for about one third of the cases. We have encountered four such cases among 850 children (0.5%) undergoing cardiovascular procedures, and have treated two additional patients. All required prolonged intubation and mechanical ventilation. Diaphragmatic plication in five was performed rather late in the course of their illness, after 21-120 days mechanical Ventilation, and was successful in three who survived, allowing weaning from Ventilation within 3-6 days. The procedure itself is simple and safe. We recommend that diaphragmatic plication be performed early in children with UDP and weaning difficulties.</abstract><cop>Germany</cop><pmid>1948971</pmid><doi>10.1055/s-2007-1022714</doi><tpages>3</tpages></addata></record> |
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| ispartof | The Thoracic and cardiovascular surgeon, 1991-08, Vol.39 (4), p.221-223 |
| issn | 0171-6425 1439-1902 |
| language | eng |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Adolescent Cardiac Surgical Procedures Child Child, Preschool Diaphragm - surgery Humans Infant Methods Postoperative Complications - diagnosis Postoperative Complications - surgery Respiratory Paralysis - diagnosis Respiratory Paralysis - etiology Respiratory Paralysis - surgery Time Factors |
| title | Postoperative Unilateral Diaphragmatic Paralysis in Children, a Plea for Early Plication |
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