PHRENIC NERVE SURGERY

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Phrenic nerve injury in infants and children undergoing cardiac surgery.

Fifty infants and 50 children less than 15 years undergoing palliative or corrective cardiac surgery in the Brompton Hospital between March and October 1988 had direct percutaneous stimulation of the phrenic nerve before and after operation. Ten patients, six under 1 year of age and four over, developed unilateral phrenic nerve injury. In those aged less than 1 year recovery after operation was...

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Phrenic Nerve Injury

1618 Communications to the Editor monectomy. He was discharged home but died on the 85th postoperative day. While the majority of studies examining preoperative risk have acknowledged that hypercarbia represents a relative contraindication to lung resection, a threshold value of 45 mm Hg has not been formally evaluated.3 Most studies have not listed PaCO2 values, although it is likely the major...

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Reinnervation of the paralyzed diaphragm: application of nerve surgery techniques following unilateral phrenic nerve injury.

BACKGROUND Unilateral phrenic nerve injury often results in symptomatic hemidiaphragm paralysis, and currently few treatment options exist. Reported etiologies include cardiac surgery, neck surgery, chiropractic manipulation, and interscalene nerve blocks. Although diaphragmatic plication has been an option for treatment, the ideal treatment would be restoration of function to the paralyzed hem...

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Phrenic Nerve Pacing: Current Concepts

Anatomy: The diaphragm is the main inspiratory muscle in mammals, it is a highly active muscle with a duty cycle of 30-40%, and therefore, the diaphragm may be particularly susceptible to inactivity or disuse (1). It is innervated by the phrenic nerves that arise from the nerve roots C3 through C5, and is primarily composed of fatigue-resistant slow-twitch type I and fast-twitch IIa myofibers. ...

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Tuberculosis and phrenic nerve destruction.

August 2007, Vol. 97, No. 8 SAMJ Phrenic nerve palsy (PNP) is often associated with Mycobacterium tuberculosis-related expansile pneumonia, possibly because of nerve entrapment by healing fibrosis. Mohan and Jayaswal1 postulated that pressure on the left phrenic nerve by an enlarged hilar lymph node caused unilateral diaphragmatic paralysis in a 6-year-old boy who developed PNP during the cours...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1930

ISSN: 0003-4932

DOI: 10.1097/00000658-193002000-00004