scholarly journals Functional Respiratory Imaging as a Tool to Personalize Respiratory Treatment in Patients With Unilateral Diaphragmatic Paralysis

2013 ◽  
Vol 59 (9) ◽  
pp. e127-e131 ◽  
Author(s):  
C. S. Van Holsbeke ◽  
G. Leemans ◽  
W. G. Vos ◽  
J. W. De Backer ◽  
S. C. Vinchurkar ◽  
...  
Keyword(s):  
Diaphragmatic Paralysis ◽  
Respiratory Treatment

scholarly journals Unilateral diaphragmatic paralysis: an electrophysiological study.

1992 ◽  
Vol 55 (4) ◽  
pp. 316-318 ◽  
Author(s):  
A Lagueny ◽  
E Ellie ◽  
J Saintarailles ◽  
R Marthan ◽  
M Barat ◽  
...  
Keyword(s):  
Electrophysiological Study ◽  
Diaphragmatic Paralysis

scholarly journals Inhaled High Dose Nitric Oxide is a Safe and Effective Respiratory Treatment in Spontaneous Breathing Hospitalized Patients with COVID-19 pneumonia

Nitric Oxide ◽  
2021 ◽  
Author(s):  
Bijan Safaee Fakhr ◽  
Raffaele Di Fenza ◽  
Stefano Gianni ◽  
Steffen B. Wiegand ◽  
Yusuke Miyazaki ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
Spontaneous Breathing ◽  
Hospitalized Patients ◽  
High Dose ◽  
Respiratory Treatment

Diaphragmatic paralysis after cardiac surgery in children: incidence, prognosis and surgical management

2006 ◽  
Vol 22 (4) ◽  
pp. 341-346 ◽  
Author(s):  
Tankut Hakki Akay ◽  
Süleyman Ozkan ◽  
Bahadir Gultekin ◽  
Emrah Uguz ◽  
Birgul Varan ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Surgical Management ◽  
Diaphragmatic Paralysis

Diaphragmatic paralysis

2021 ◽  
Author(s):  
Mostafa El-Feky
Keyword(s):  
Diaphragmatic Paralysis

Effect of superior trunk block on diaphragm function and respiratory parameters after shoulder surgery

2022 ◽  
pp. rapm-2021-102962
Author(s):  
Constantin Robles ◽  
Nick Berardone ◽  
Steven Orebaugh
Keyword(s):  
Total Sample ◽  
Shoulder Surgery ◽  
Diaphragmatic Paralysis ◽  
Postanesthesia Care Unit ◽  
Phrenic Nerve Palsy ◽  
Diaphragmatic Dysfunction ◽  
Postoperative Assessment ◽  
Respiratory Parameters ◽  
Breath Sounds ◽  
Arthroscopic Shoulder Surgery

BackgroundThe interscalene brachial plexus block has been used effectively for intraoperative and postoperative analgesia in patients undergoing shoulder surgery, but it is associated with high rates of diaphragmatic dysfunction. Performing the block more distally, at the level of the superior trunk, may reduce the incidence of phrenic nerve palsy. We hypothesized that superior trunk block would result in diaphragmatic paralysis rate of less than 20%.Methods30 patients undergoing arthroscopic shoulder surgery received superior trunk block under ultrasound guidance. Measurements of diaphragm excursion were determined with ultrasound prior to the block, 15 min after the block, and postoperatively in phase II of postanesthesia care unit, in conjunction with clinical parameters of respiratory function.Results10 patients (33.3%, 95% CI 17.3% to 52.8%) developed complete hemidiaphragmatic paralysis at the postoperative assessment. An additional eight patients (26.7%) developed paresis without paralysis. Of the 18 patients with diaphragm effects, seven (38.9%) reported dyspnea. 83.3% of patients with abnormal diaphragm motion (56.7% of the total sample) had audibly reduced breath sounds on auscultation. Oxygen saturation measurements did not correlate with diaphragm effect and were not significantly reduced by the postoperative assessment.ConclusionAlthough injection of local anesthetic at the superior trunk level is associated with less diaphragmatic paralysis compared with traditional interscalene block, a significant portion of patients will continue to have ultrasonographic and clinical evidence of diaphragmatic weakness or paralysis.

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