conclusions patients’ experiences after cardiac surgery indicated the need for the consideration of holistic care and supportive intervention programs after surgery to promote recovery and a better quality of life following cardiac surgery. results the data analysis revealed three main themes and 11 subthemes, categorized as conceptual and abstract, based on their nature: concern of going out t...

results of 153 patients, 96.8% received pc and 54.9% transfused ffp during or after surgery. most of the transfusions were done after operation in intensive care unit (icu). also, 20% and 17% of the patients underwent transfusion of more than 6 units of pc and ffp, respectively. the mean left ventricular ejection fraction of the patients was 42.5 ± 10.9%. a significant number of patients had an...

Objective To describe the surgical technique of a subxiphoid approach to remove cardiophrenic lymph nodes in women with advanced ovarian cancer. Materials and methods The first step is to dissect and separate the anterior insertions of the diaphragm at the xiphoid appendix. Thus, the parietal peritoneum and the upper fibres of the transversus abdominis muscle are incised. Then, the anteroinfe...

acute left atrial thrombosis at the site of the resection of the primary cribriform septum is an exceedingly rare and important complication after atrial septal defect (asd) closure with a pericardial or synthetic patch. this case report presents a mobile thrombus noted on the left atrium at the raw surface site of a resected cribriform primary septum that was not caught in the suture line with...

A boy delivered at 32 weeks' gestation developed bilateral pneumothoraces that required multiple chest drains. He was dependent on the ventilator for 52 days because of bilateral diaphragmatic paralysis. Electrophysiological studies confirmed phrenic nerve damage. He eventually made a full recovery. It is likely that this damage was caused by the insertion of the chest drains.

BACKGROUND Among a variety of more common differential diagnoses, the aetiology of acute respiratory failure includes Lyme neuroborreliosis. CASE PRESENTATION We report an 87-years old huntsman with unilateral phrenic nerve palsy as a consequence of Lyme neuroborreliosis. CONCLUSION Although Lyme neuroborreliosis is a rare cause of diaphragmatic weakness, it should be considered in the diff...

We read with great interest the manuscript by Martinez-Barenys et al. [1] in which they compared phrenic nerve infiltration and suprascapular nerve block for ipsilateral shoulder pain following thoracic surgery. We have used similar technique of infiltration of the periphrenic fat pad in our practice for last 5 years, and we have been able to cut down the use of additional analgesia for the ips...

Diaphragmatic pacing is a valuable tool that can significantly benefit certain patients with respiratory insufficiency provided they have an intact phrenic nerve and a functional diaphragm. Careful patient selection is critical to successful long-term results. The main populations that derive benefit from pacing include those with congenital or acquired central hypoventilation syndrome and more...

Dyspnoea during generalised spasms is reported in three tetraplegic patients. Intraoesophageal electromyographic evidence strongly suggests that the dyspnoea is a result of diaphragmatic spasms. Utilisation of this EMG technique in other tetraplegic patients may add to our knowledge of variations in the distribution of the phrenic nerve nucleus within the spinal cord.

ELDRIDGE, FREDERIC L. Relationshz) between phrenic nerve activity and ventdation. Am. J. Physiol. 221(Z) : 535-543. 197 1 .-Phrenic nerve discharges were recorded in anesthetized cats simultaneously with a range of tidal volumes. Nerve impulses were processed in a variety of ways. Total impulses per breath and peak impulse frequency correlated poorly with tidal volume. Integrated electrical act...