| Acute supine respiratory failure due to bilateral diaphragmatic paralysis. | |
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MedLine Citation:
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PMID: 872664 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J D Sandham; D T Shaw; C A Guenter |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chest Volume: 72 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1977 Jul |
Date Detail:
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Created Date: 1977-08-25 Completed Date: 1977-08-25 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 96-8 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Blood Gas Analysis Diaphragm / physiopathology*, radiography Fractures, Bone / complications Humans Male Middle Aged Posture* 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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