Document Detail

Acute supine respiratory failure due to bilateral diaphragmatic paralysis.
MedLine Citation:
PMID:  872664     Owner:  NLM     Status:  MEDLINE    
This report documents the first known case of bilateral diaphragmatic paralysis following blunt trauma to the chest. The important role of diaphragmatic function in maintaining ventilation, particularly with the patient in the supine position, is illustrated by the reduced total lung capacity, functional residual capacity, and vital capacity. Severe hypoxemia with the patient in the supine position, was markedly improved by elevation of the patient to 30 degree and was further improved by sitting the patient upright. Following an initial period of acute respiratory failure, the patient was managed acceptably by maintaining an elevated position for sleeping until diaphragmatic function returned, about nine months after the injury.
J D Sandham; D T Shaw; C A Guenter
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  72     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1977 Jul 
Date Detail:
Created Date:  1977-08-25     Completed Date:  1977-08-25     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  96-8     Citation Subset:  AIM; IM    
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MeSH Terms
Accidents, Traffic
Blood Gas Analysis
Diaphragm / physiopathology*,  radiography
Fractures, Bone / complications
Middle Aged
Respiration, Artificial
Respiratory Function Tests
Respiratory Insufficiency / etiology*,  therapy
Respiratory Paralysis / physiopathology*,  therapy
Wounds, Nonpenetrating / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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