Non-invasive positive pressure ventilation for bilateral diaphragm paralysis after pediatric cardiac surgery.
We present the case histories of two children having respiratory failure due to bilateral diaphragm paralysis after cardiac surgery. In both children non-invasive positive pressure ventilation alleviated respiratory distress, improved gas exchange, and prevented the need for endotracheal intubation. Following unilateral recovery of diaphragmatic function both children were successfully weaned from non-invasive positive pressure ventilation.
Intensive Care Unit, Pediatric Cardiac Center, Bratislava, Slovakia. lkovacikova@yahoo.com
Lubica
L
Kovacikova
Dusan
D
Dobos
Martin
M
Zahorec
D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002675:Child, Preschool; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D008297:Male; D011175:Positive-Pressure Respiration; D011659:Pulmonary Gas Exchange; D012131:Respiratory Insufficiency / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D012133:Respiratory Paralysis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome