¿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.
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