[Bilateral diaphragm paralysis after cardiac surgery].
We report two cardiac surgery patients on whom local hypothermia with slushed ice for myocardial protection was used. Bilateral diaphragm paralysis with respiratory failure occurred. In both cases, neurophysiologic studies have been used for the diagnosis. Prolonged ventilatory support was required for several weeks and they were totally recovered after months.
Miñambres
E
E
Departamento de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria. eduardo_minambres@yahoo.es
García García
A
A
Rodriguez Borregan
J
J
Antolínez Eizaguirre
X
X
Gutiérrez Morlote
J
J
San José Garagarza
J
J
D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006324:Heart Arrest, Induced / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007036:Hypothermia, Induced / Q000009:adverse effects* / Q000379:methods; D008944:Mitral Valve Insufficiency / Q000601:surgery; D009203:Myocardial Infarction / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D012121:Respiration, Artificial; D012133:Respiratory Paralysis / Q000209:etiology* / Q000628:therapy