Bilateral diaphragmatic paralysis after aortic surgery with topical hypothermia: Ventilatory assistance by means of nasal mask bilevel positive pressure

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Presentation transcript:

Bilateral diaphragmatic paralysis after aortic surgery with topical hypothermia: Ventilatory assistance by means of nasal mask bilevel positive pressure Yoshiyuki Tokuda, MD, Masahiko Matsumoto, MD, Takaaki Sugita, MD, Junichiro Nishizawa, MD, Katsuhiko Matsuyama, MD, Kazunori Yoshida, MD, Takehiko Matsuo, MD The Journal of Thoracic and Cardiovascular Surgery Volume 125, Issue 5, Pages 1158-1159 (May 2003) DOI: 10.1067/mtc.2003.297 Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Phrenic nerve function was investigated by means of percutaneous phrenic nerve stimulation at the neck and recording of the compound diaphragmatic motor action potential at the lower chest wall. The stimulation evoked very-low-amplitude compound diaphragmatic motor action potential bilaterally (60 μV at right, 40 μV at left; normal value, >350 μV).2 During the stimulation, no twitch in the diaphragm was observed. These results confirmed bilateral diaphragmatic paralysis. The Journal of Thoracic and Cardiovascular Surgery 2003 125, 1158-1159DOI: (10.1067/mtc.2003.297) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions