EARLY SURGICAL INTERVENTION FOR DIAPHRAGMATIC PARALYSIS IN A NEONATE; REPORT OF A CASE AND LITERATURE REVIEW

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AHMADPOUR KACHO MOUSA; ZAHEDPASHA YADOLLAH; HADIPOOR ABBAS; AKBARIAN RAD ZAHRA

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Journal: Iranian Journal of Pediatrics Year:2011 | Volume:21 | Issue:1 Page(s): 116-120

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Title

EARLY SURGICAL INTERVENTION FOR DIAPHRAGMATIC PARALYSIS IN A NEONATE; REPORT OF A CASE AND LITERATURE REVIEW

Author(s)

AHMADPOUR KACHO MOUSA | ZAHEDPASHA YADOLLAH | HADIPOOR ABBAS | AKBARIAN RAD ZAHRA | Issue Writer Certificate

Keywords

NEONATE

DIAPHRAGMATIC PARALYSIS

VENTILATION

MECHANICAL

LOWER BRACHIAL PLEXUS PALSY

Abstract

Background: DIAPHRAGMATIC PARALYSIS in newborns is related to brachial plexus palsy. It can cause respiratory failure necessitating prolonged MECHANICAL VENTILATION and subsequent extubation failure.Case Presentation: We present a two-hour-old male newborn with a birth weight of 4500 grams who had a right-sided brachial plexus palsy and right DIAPHRAGMATIC PARALYSIS due to shoulder dystocia. He developed respiratory distress due to isolated paralysis of the right hemi diaphragm.The clinical course was progressive, his condition worsening despite oxygen application. Physical examination, chest X-rays and M-mode ultrasonography of the diaphragm confirmed the diagnosis DIAPHRAGMATIC PARALYSIS. Surgical plication of diaphragm was done earlier than the usual time because of recurrent extubation failure. Diaphragmatic plication led to rapid improvement of pulmonary function and allowed discontinuation of MECHANICAL VENTILATION in less than 3 days.Conclusion: Early diaphragmatic plication enhances weaning process and may prevent or minimize the morbidity associated with long-term MECHANICAL VENTILATION in a NEONATE with DIAPHRAGMATIC PARALYSIS.

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APA: Copy

AHMADPOUR KACHO, MOUSA, ZAHEDPASHA, YADOLLAH, HADIPOOR, ABBAS, & AKBARIAN RAD, ZAHRA. (2011). EARLY SURGICAL INTERVENTION FOR DIAPHRAGMATIC PARALYSIS IN A NEONATE; REPORT OF A CASE AND LITERATURE REVIEW. IRANIAN JOURNAL OF PEDIATRICS, 21(1), 116-120. SID. https://sid.ir/paper/564102/en

Vancouver: Copy

AHMADPOUR KACHO MOUSA, ZAHEDPASHA YADOLLAH, HADIPOOR ABBAS, AKBARIAN RAD ZAHRA. EARLY SURGICAL INTERVENTION FOR DIAPHRAGMATIC PARALYSIS IN A NEONATE; REPORT OF A CASE AND LITERATURE REVIEW. IRANIAN JOURNAL OF PEDIATRICS[Internet]. 2011;21(1):116-120. Available from: https://sid.ir/paper/564102/en

IEEE: Copy

MOUSA AHMADPOUR KACHO, YADOLLAH ZAHEDPASHA, ABBAS HADIPOOR, and ZAHRA AKBARIAN RAD, “EARLY SURGICAL INTERVENTION FOR DIAPHRAGMATIC PARALYSIS IN A NEONATE; REPORT OF A CASE AND LITERATURE REVIEW,” IRANIAN JOURNAL OF PEDIATRICS, vol. 21, no. 1, pp. 116–120, 2011, [Online]. Available: https://sid.ir/paper/564102/en

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