ISSN:
1432-2277
Keywords:
Key words Liver transplantation
;
child
;
diaphragmatic nerve palsy
;
Diaphragma
;
nerve palsy
;
liver transplantation
;
Nerve palsy
;
diaphragma
;
liver transplantation
;
Child
;
diaphragmatic nerve palsy
;
liver transplantation
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Diaphragmatic paralysis was identified in four children after liver transplantation. All presented with persistent right upper lobe atelectasis, pleural effusion and recurrent respiratory infections and could not be weaned from mechanical ventilatory support. Fluoroscopy and real-time ultrasound confirmed paradoxical right diaphragmatic movements. Diaphragmatic plication was undertaken and enabled rapid and sustained weaning from respiratory support in all four cases. Vascular clamping of the suprahepatic vena cava seems to be the cause. Diaphragmatic plication allows optimal recruitment of the respiratory muscles with a favourable impact on lung mechanics and gas exchange.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s001470050142
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