Bilateral diaphragmatic paralysis
Ventilatory failure developed insidiously in a patient due to bilateral diaphragmatic paralysis from bilateral phrenic neuropathy. The ventilatory failure progressed to respiratory arrest. We assessed the patient's diaphragmatic function by fluoroscopy, transdiaphragmatic pressure measurements...
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| Veröffentlicht in: | Southern medical journal (Birmingham, Ala.) Ala.), 1983-10, Vol.76 (10), p.1312-1313 |
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| container_issue | 10 |
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| container_title | Southern medical journal (Birmingham, Ala.) |
| container_volume | 76 |
| creator | DiBenedetto, R J Firth, M Ham, E Causey, D |
| description | Ventilatory failure developed insidiously in a patient due to bilateral diaphragmatic paralysis from bilateral phrenic neuropathy. The ventilatory failure progressed to respiratory arrest. We assessed the patient's diaphragmatic function by fluoroscopy, transdiaphragmatic pressure measurements during maximal inspiration, measurement of abdominal paradoxic motion, and electrical conduction measurements of the phrenic nerves. He improved and was discharged. A rocking bed was recommended for sleep after appropriate measurements of various respiratory support apparatuses. A history of supine breathlessness and a clinical observation of paradoxic abdominal wall motion during breathing in the supine position should suggest this possible cause. |
| doi_str_mv | 10.1097/00007611-198310000-00031 |
| format | Article |
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The ventilatory failure progressed to respiratory arrest. We assessed the patient's diaphragmatic function by fluoroscopy, transdiaphragmatic pressure measurements during maximal inspiration, measurement of abdominal paradoxic motion, and electrical conduction measurements of the phrenic nerves. He improved and was discharged. A rocking bed was recommended for sleep after appropriate measurements of various respiratory support apparatuses. A history of supine breathlessness and a clinical observation of paradoxic abdominal wall motion during breathing in the supine position should suggest this possible cause.</description><identifier>ISSN: 0038-4348</identifier><identifier>DOI: 10.1097/00007611-198310000-00031</identifier><identifier>PMID: 6623148</identifier><language>eng</language><publisher>United States</publisher><subject>Aged ; Humans ; Lung - physiopathology ; Male ; Oxygen - blood ; Respiratory Insufficiency - etiology ; Respiratory Paralysis - complications ; Respiratory Paralysis - physiopathology ; Respiratory Paralysis - therapy</subject><ispartof>Southern medical journal (Birmingham, Ala.), 1983-10, Vol.76 (10), p.1312-1313</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6623148$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DiBenedetto, R J</creatorcontrib><creatorcontrib>Firth, M</creatorcontrib><creatorcontrib>Ham, E</creatorcontrib><creatorcontrib>Causey, D</creatorcontrib><title>Bilateral diaphragmatic paralysis</title><title>Southern medical journal (Birmingham, Ala.)</title><addtitle>South Med J</addtitle><description>Ventilatory failure developed insidiously in a patient due to bilateral diaphragmatic paralysis from bilateral phrenic neuropathy. The ventilatory failure progressed to respiratory arrest. We assessed the patient's diaphragmatic function by fluoroscopy, transdiaphragmatic pressure measurements during maximal inspiration, measurement of abdominal paradoxic motion, and electrical conduction measurements of the phrenic nerves. He improved and was discharged. A rocking bed was recommended for sleep after appropriate measurements of various respiratory support apparatuses. A history of supine breathlessness and a clinical observation of paradoxic abdominal wall motion during breathing in the supine position should suggest this possible cause.</description><subject>Aged</subject><subject>Humans</subject><subject>Lung - physiopathology</subject><subject>Male</subject><subject>Oxygen - blood</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Respiratory Paralysis - complications</subject><subject>Respiratory Paralysis - physiopathology</subject><subject>Respiratory Paralysis - therapy</subject><issn>0038-4348</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1PwzAMhnMAjTH4CUjlwq0QJ81HjzAxQJrEBc6RmyZQ1LKStIf9e1JWZsmybL-vLT2EZEBvgZbqjqZQEiCHUnOYujwlhxOyTEXnBS_0GTmP8WsSCi0XZCEl41DoJbl-aFocXMA2qxvsPwN-dDg0NusxzfaxiRfk1GMb3eVcV-R98_i2fs63r08v6_ttbpkQQ86LuigZahSqYtTJSgKWlnHPELysHS-8sN6nPYCwFXBF6xKEQmkBOZR8RW4Od_uw-xldHEzXROvaFr_dboxGU6mVFCoJ9UFowy7G4LzpQ9Nh2BugZiJi_omYIxHzRyRZr-YfY9W5-miccfBfPB1cWw</recordid><startdate>198310</startdate><enddate>198310</enddate><creator>DiBenedetto, R J</creator><creator>Firth, M</creator><creator>Ham, E</creator><creator>Causey, D</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>198310</creationdate><title>Bilateral diaphragmatic paralysis</title><author>DiBenedetto, R J ; Firth, M ; Ham, E ; Causey, D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c255t-34d492a8a57b20e6b61a9c23f2a1f6de34f5cff8a5115cb1370d9157a6c1a3193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Aged</topic><topic>Humans</topic><topic>Lung - physiopathology</topic><topic>Male</topic><topic>Oxygen - blood</topic><topic>Respiratory Insufficiency - etiology</topic><topic>Respiratory Paralysis - complications</topic><topic>Respiratory Paralysis - physiopathology</topic><topic>Respiratory Paralysis - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DiBenedetto, R J</creatorcontrib><creatorcontrib>Firth, M</creatorcontrib><creatorcontrib>Ham, E</creatorcontrib><creatorcontrib>Causey, D</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>Southern medical journal (Birmingham, Ala.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DiBenedetto, R J</au><au>Firth, M</au><au>Ham, E</au><au>Causey, D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral diaphragmatic paralysis</atitle><jtitle>Southern medical journal (Birmingham, Ala.)</jtitle><addtitle>South Med J</addtitle><date>1983-10</date><risdate>1983</risdate><volume>76</volume><issue>10</issue><spage>1312</spage><epage>1313</epage><pages>1312-1313</pages><issn>0038-4348</issn><abstract>Ventilatory failure developed insidiously in a patient due to bilateral diaphragmatic paralysis from bilateral phrenic neuropathy. The ventilatory failure progressed to respiratory arrest. We assessed the patient's diaphragmatic function by fluoroscopy, transdiaphragmatic pressure measurements during maximal inspiration, measurement of abdominal paradoxic motion, and electrical conduction measurements of the phrenic nerves. He improved and was discharged. A rocking bed was recommended for sleep after appropriate measurements of various respiratory support apparatuses. A history of supine breathlessness and a clinical observation of paradoxic abdominal wall motion during breathing in the supine position should suggest this possible cause.</abstract><cop>United States</cop><pmid>6623148</pmid><doi>10.1097/00007611-198310000-00031</doi><tpages>2</tpages></addata></record> |
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| identifier | ISSN: 0038-4348 |
| ispartof | Southern medical journal (Birmingham, Ala.), 1983-10, Vol.76 (10), p.1312-1313 |
| issn | 0038-4348 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_80687657 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Humans Lung - physiopathology Male Oxygen - blood Respiratory Insufficiency - etiology Respiratory Paralysis - complications Respiratory Paralysis - physiopathology Respiratory Paralysis - therapy |
| title | Bilateral diaphragmatic paralysis |
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