title: Diagnosis of Hemidiaphragmatic Paresis in a Preterm Infant with Transcutaneous Electromyography: A Case Report.
abstract: Transcutaneous electromyography of the diaphragm (dEMG) is a noninvasive and easy applicable tool to measure the electrical activity of the diaphragm. dEMG monitoring has recently been introduced in the neonatal intensive care unit as a novel cardiorespiratory monitor providing direct information on diaphragmatic breathing activity. We report a preterm infant with suspected paresis of the right diaphragm measured with transcutaneous dEMG, which showed a clear reduction in the electrical activity of the right-sided diaphragm. In conclusion, dEMG provides valuable information on regional diaphragmatic activity, which can assist the clinician in diagnosing hemidiaphragmatic paresis.
authors.affiliation: Department of Neonatology, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Juliette V
authors.initials: JV
authors.lastname: Kraaijenga
authors.forename: Gerard J
authors.initials: GJ
authors.lastname: Hutten
authors.forename: Frans H
authors.initials: FH
authors.lastname: de Jongh
authors.forename: Anton H
authors.initials: AH
authors.lastname: van Kaam
mesh_terms: D003964:Diaphragm / Q000503:physiopathology*; D004576:Electromyography / Q000379:methods*; D006801:Humans; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D007363:Intensive Care Units, Neonatal; D008168:Lung / Q000000981:diagnostic imaging*; D008297:Male; D008991:Monitoring, Physiologic; D010291:Paresis / Q000175:diagnosis*; D011859:Radiography