Patients with high spinal cord injury may present with significant cardiac dysautonomia. There is a dearth of data regarding electromechanical interference to cardiac pacemakers from phrenic nerve stimulators which are used in such patients for respiratory support. We report an instance of bipolar lead permanent pacemaker insertion for ventricular standstill in a man with quadriplegia following...

OBJECTIVE Diaphragmatic paralysis (DP) caused by phrenic nerve injury is potentially life-threatening in infants. Phrenic nerve injury due to thoracic surgery is the most common cause of DP in children. We retrospectively analyzed incidence, surgical details, management and follow-up of our patients with DP after cardiac surgery to develop an algorithm for the management and follow-up. METHOD...

: Iatrogenic phrenic nerve injury is an issue that all thoracic surgeons will be called to tackle during their career. Injury of the leads paralysis hemidiaphragm, which can result in a spectrum symptom severity from asymptomatic disabling shortness breath. It any operation requiring dissection close its anatomical pathway neck diaphragm, but also at risk with interventional procedures within v...

The aim of the present study was to evaluate diaphragmatic strength in patients with unilateral diaphragmatic paralysis and to determine whether patients with recent diaphragm paralysis develop lower inspiratory pressure than patients with longstanding diaphragmatic paralysis. Twenty patients (16 men and 4 women, 62+/-12 years) and six control subjects were included (4 men and 2 women, 53+/-15 ...

Topical cardiac hypothermia has been shown to be a safe and effective means of providing protection for the ischemic myocardium during aortic cross-clamping. We report herein two cases of postoperative bilateral diaphragmatic paralysis which we believe resulted from hypothermic injury to the phrenic nerves. After open-heart surgery, both patients experienced prolonged weaning from assisted vent...

Background: Injured phrenic nerve secondary to cardiac surgeries is the most common cause of diaphragmatic paralysis (DP) in infants. The aim of this study was to determine the risk factors for DP caused by congenital heart defect corrective surgeries in pediatrics. Methods: This cross-sectional study, conducted in a 2-year period (2006–2008), included 451 children with congenital heart disease...

There is evidence that early diagnosis of postoperative phrenic nerve damage may improve outcome, by allowing early surgical treatment, in children following cardiac surgery. This has prompted the development of a simple method for measuring phrenic nerve latency at the bedside in children. We have evaluated the reproducibility of measurements made with this system in 11 children (4 months to 1...

BACKGROUND To determine whether monitoring end- tidal Carbon Dioxide (capnography) can be used to reliably identify the phrenic nerve during the supraclavicular exploration for brachial plexus injury. METHODS Three consecutive patients with traction pan-brachial plexus injuries scheduled for neurotization were evaluated under an anesthetic protocol to allow intraoperative electrophysiology. M...

Since Naunyn reported the first case of unilateral diaphragmatic paralysis in a newborn infant in 1902, 38 further cases have been described; 72% showed an association with Erb's palsy on the same side as the phrenic injury. As most cases have occurred after breech delivery, the majority of observers considered the injury to result from manipulations of the head and neck producing overstretchin...

Diaphragmatic palsy due to intraoperative injury of the phrenic nerve leads severe ventilation disorders, a decrease in quality life, leveling effect main operation. According foreign authors, reconstruction is an optimal alternative diaphragm plication acute injuries nerve. This case describes first successful experience our country with intercostal graft patient locally advanced stage IIIB th...