¿Por qué fallo la extubación en mi paciente con trauma raquimedular?: Consideraciones para tener en cuenta
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Diaphragmatic paralysis is a little described entity within the sequelae of patients with spinal cord trauma, since it often goes unnoticed. In particular cases, where these patients undergo invasive mechanical ventilation and do not tolerate its withdrawal, phrenic nerve involvement should be suspected. Advances in the management of this entity include different measures such as phrenic nerve reconstruction, diaphragm plication, use of phrenic pacemakers, use of tracheostomy and pulmonary rehabilitation. Diaphragmatic paralysis is a little described entity within the sequelae of patients with spinal cord trauma, since it often goes unnoticed. In particular cases, where these patients undergo invasive mechanical ventilation and do not tolerate its withdrawal, phrenic nerve involvement should be suspected. Advances in the management of this entity include different measures such as phrenic nerve reconstruction, diaphragm plication, use of phrenic pacemakers, use of tracheostomy and pulmonary rehabilitation.
Referencias
American Thoracic Society. (2002). ATS/ERS Statement on respiratory muscle testing. American Journal of Respiratory and Critical Care Medicine, 166(4), 518–624. https://doi.org/10.1164/rccm.166.4.518
Caleffi-Pereira, M., Pletsch-Assunção, R., Cardenas, L. Z., Santana, P. V., Ferreira, J. G., Iamonti, V. C., Caruso, P., Fernandez, A., de Carvalho, C. R. R., & Albuquerque, A. L. P. (2018). Unilateral diaphragm paralysis: A dysfunction restricted not just to one hemidiaphragm. BMC Pulmonary Medicine, 18(1), 1–9. https://doi.org/10.1186/s12890-018-0698-1
Chen, I. Y. (1993). Value of fluoroscopy in patients with suspected bilateral hemidiaphragmatic paralysis. American Journal of Roentgenology, 1.
Chetta, A., Rehman, A. K., Moxham, J., Carr, D. H., & Polkey, M. I. (2005). Chest radiography cannot predict diaphragm function. Respiratory Medicine, 99(1), 39–44. https://doi.org/10.1016/j.rmed.2004.04.016
Clague, H. W., & Hall, D. R. (1979). Effect of posture on lung volume: airway closure and gas exchange in hemidiaphragmatic paralysis. Thorax, 34(4), 523–526. https://doi.org/10.1136/thx.34.4.523
Fernandez, E. (2002). Idiopathic bilateral diaphragm paralysis: Bi-PAP treatment. Archivos de Bronconeumologia, 38(5). https://doi.org/doi:10.1016/s0300-2896(02)75207-1 PMID:
Freeman, R. K., Van Woerkom, J., Vyverberg, A., & Ascioti, A. J. (2009). Long-Term Follow-Up of the Functional and Physiologic Results of Diaphragm Plication in Adults With Unilateral Diaphragm Paralysis. Annals of Thoracic Surgery, 88(4), 1112–1117. https://doi.org/10.1016/j.athoracsur.2009.05.027
Houston, J. G., Cowan, M. D., McMillan, N. C., Angus, R. M., & Thomson, N. C. (1994). Ultrasound assessment of normal hemidiaphragmatic movement: Relation to inspiratory volume. Thorax, 49(5), 500–503. https://doi.org/10.1136/thx.49.5.500
Kaufman, M. R., Elkwood, A. I., Colicchio, A. R., Cece, J., Jarrahy, R., Willekes, L. J., Rose, M. I., & Brown, D. (2014). Functional restoration of diaphragmatic paralysis: An evaluation of phrenic nerve reconstruction. Annals of Thoracic Surgery, 97(1), 260–266. https://doi.org/10.1016/j.athoracsur.2013.09.052