Phrenic nerve paresis associated with the use of iced slush and the cooling jacket for topical hypothermia

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Role of topical application of iced slush in the development of phrenic nerve palsy after cardiac surgery

Background/Introduction Phrenic nerve palsy (PNP) is a well-recognized complication after cardiac surgery which might occur as a result of topical myocardial cooling, direct injury or ischemia. It can result in deleterious respiratory effects especially in children and in patient with chronic obstructive pulmonary disease which adversely affect recovery and increase the length of ICU and hospit...

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Etiology and prevention of topical cardiac hypothermia-induced phrenic nerve injury and left lower lobe atelectasis during cardiac surgery.

Left hemidiaphragm elevation is frequently noted following cardiac surgery employing topical hypothermia. We speculate that contact of the left phrenic nerve with ice causes nerve injury, resulting in left hemidiaphragm paresis or paralysis and left lower lobe atelectasis. Left diaphragm elevation was noted on postoperative chest x-ray examination of 36 of 60 (60 percent) consecutive patients i...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1985

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)38701-x