Document Detail

Extubation failure due to phrenic nerve injury.
MedLine Citation:
PMID:  12496233     Owner:  NLM     Status:  MEDLINE    
A 26 week gestation infant had an increasingly elevated right hemidiaphragm following drainage of bilateral pleural effusions and failed extubation on numerous occasions. Electric stimulation of the phrenic nerves revealed absent activity on the right, indicating phrenic nerve injury from chest tube drain insertion. Diaphragmatic plication was performed and the infant successfully extubated four days later.
O Williams; A Greenough; N Mustfa; S Haugen; G R Rafferty
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  88     ISSN:  1359-2998     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2002-12-23     Completed Date:  2003-01-23     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  England    
Other Details:
Languages:  eng     Pagination:  F72-3     Citation Subset:  AIM; IM    
Children Nationwide Regional Neonatal Intensive Care Centre, King's College Hospital, London SE5 9RS, UK.
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MeSH Terms
Chest Tubes / adverse effects*
Electric Stimulation
Infant, Newborn
Phrenic Nerve / injuries*
Respiration, Artificial / methods
Respiratory Distress Syndrome, Newborn / physiopathology,  radiography,  therapy*
Treatment Failure
Ventilator Weaning*

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