ArticleIntensive care medicine2006
Postoperative phrenic nerve palsy: early clinical implications and management.
Article in Intensive care medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 64 citations in OpenAlex.
- Impact of Phrenic Nerve Repair Using Intercostal Nerve Graft on Diaphragm Function after Thoracic Tumour Resection.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Pulmonary Function Outcomes in Children Undergoing Diaphragmatic Plication After Phrenic Nerve Palsy Secondary to Cardiac Surgery: A 10-Year Case Series.Respirology case reports · 2025Article
- Impact of diaphragm paralysis and its surgical interventions on outcomes after the staged Fontan procedure.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Radiation-Induced Unilateral Diaphragmatic Paralysis Following Breast and Nodal Radiotherapy.European journal of case reports in internal medicine · 2025Article
- Effect of Vitamin C Infusion on Cerebral Oximetry During General Anesthesia for Carotid Endarterectomy in Diabetic Patients.Anesthesiology and pain medicine · 2023Article
- Outcome analysis of a conservative approach to diaphragmatic paralysis following congenital cardiac surgery in neonates and infants: a bicentric retrospective study.Interactive cardiovascular and thoracic surgery · 2021Article
- Ultrasonographic postoperative evaluation of diaphragm function of patients with congenital heart defects.Turk gogus kalp damar cerrahisi dergisi · 2020Article
- Bilateral Diaphragmatic Paralysis Following Paediatric Cardiac Surgery: Experience of four cases at the Royal Hospital, Muscat, Oman.Sultan Qaboos University medical journal · 2017Article
- Suspected bilateral phrenic nerve damage following a mediastinal mass removal in a 17-week-old pug.The Canadian veterinary journal = La revue veterinaire canadienne · 2017Article
- Risk Factors for post-Cardiac Surgery Diaphragmatic Paralysis in Children with Congenital Heart Disease.The journal of Tehran Heart Center · 2015Article
- Diaphragmatic palsy after cardiac surgical procedures in patients with congenital heart.Annals of pediatric cardiology · 2010Article
- A prospective study of phrenic nerve damage after cardiac surgery in children.Intensive care medicine · 2008Article
- Mid-term follow-up in patients with diaphragmatic plication after surgery for congenital heart disease.Intensive care medicine · 2007Article
- Year in Review in Intensive Care Medicine, 2006. III. Circulation, ethics, cancer, outcome, education, nutrition, and pediatric and neonatal critical care.Intensive care medicine · 2007Review
- C 3, 4 and 5, keep the diaphragm alive.Intensive care medicine · 2006Review
- Early diagnosis of diaphragm palsy after pediatric cardiac surgery and outcome after diaphragm plication - A single-center experience.Annals of pediatric cardiologyArticle
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe examined the clinical impact of diaphragmatic palsy (DP) as a result of phrenic nerve injury following cardiothoracic surgery, specifically its effects on morbidity and mortality, early regeneration capacity of the phrenic nerve, and role of surgical diaphragmatic plication.
methodsA retrospective case control study was performed in 74 children with DP and 74 matched controls after cardiothoracic surgery within the past 14 years.
resultsFollowing 5,128 surgical procedures in children (aged under 18 years) we found an incidence of DP of 1.4%. There were no differences in mortality between the groups, and the cause of death was not related to DP or plication in any of the patients. However, patients with diaphragm impairment had significantly longer duration of mechanical ventilation (median 3 days vs. 1), ICU stay (7 days vs. 3.5), duration of hospital stay (16 days vs. 12), and for antibiotic treatment (16 days vs. 7). Because of prolonged respiratory problems 40 children (54%) underwent surgical diaphragmatic plication to flatten the diaphragm in its inspiratory position. In children with DP younger age was a strong predictor for plication (median 3.8 months vs. 12.1).
conclusionsEspecially in newborns and young infants with DP the length of mechanical ventilation, ICU stay, and hospital stay are prolonged. Early spontaneous recovery of the phrenic nerve is rare. In cases of respiratory impairment early transthoracic diaphragmatic plication is an effective means of treatment.
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