Diaphragmatic plication in the extremely low birth weight infant.
A case of acquired diaphragmatic paralysis in an extremely low birth weight infant complicated by respiratory failure, recurrent atelectasis, and pneumonia is described. Diaphragmatic plication led to a rapid improvement in pulmonary function and allowed for discontinuation of mechanical ventilation in less than 1 week. Therapeutic options for acquired diaphragmatic paralysis, including the rationale for early operative intervention, in this patient population are discussed.
Gallagher
P G
PG
Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA.
Seashore
J H
JH
Touloukian
R J
RJ
D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000628:therapy*; D019102:Infant, Very Low Birth Weight; D008297:Male; D011175:Positive-Pressure Respiration; D012121:Respiration, Artificial; D012133:Respiratory Paralysis / Q000628:therapy*