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Hemidiaphragmatic paralysis in preterm neonates: a rare complication of peripherally inserted central catheter extravasation.

Abstract：

:Unilateral diaphragmatic paralysis was diagnosed in 2 preterm neonates born at 29 and 25 weeks of gestation, respectively. In both instances, the pathophysiology was phrenic nerve injury after extravasation of parenteral nutrition fluid. Misplacement and infection were predisposing factors. Diaphragmatic movement analysis by time-motion-mode ultrasonography was helpful in achieving a diagnosis. The first neonate required a diaphragmatic placation, whereas the other infant was managed nonoperatively. These cases confirm a rare etiology of diaphragmatic paralysis and possible spontaneous recovery. In neonates with very low birth weight, general anesthesia and thoracic surgery may be associated with a high morbidity, suggesting that nonoperative medical treatment, when possible, is preferable if the neonate does not require supplemental oxygen.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Tosello B,Michel F,Merrot T,Chaumoître K,Hassid S,Lagier P,Martin C

doi

10.1016/j.jpedsurg.2011.03.065

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

E17-21

issue

7

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(11)00280-6

journal_volume

46

pub_type

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