Journal Information
Vol. 47. Issue 2.
Pages 120-121 (February 2023)
Share
Share
Download PDF
More article options
Vol. 47. Issue 2.
Pages 120-121 (February 2023)
Images in Intensive Medicine
Full text access
Diagnosis of diaphragmatic paralysis by ultrasound after cardiac surgery
Diagnóstico de parálisis diafragmática tras cirugía cardiaca mediante ecografía pulmonar
Visits
1503
A. Santos Perala,
Corresponding author
alfonso.stp@gmail.com

Corresponding author.
, A. Gómez Carranzaa, R. Vicho Pereirab
a Servicio de Medicina Intensiva, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
b Servicio de Medicina Intensiva, Clínica Rotger Quirónsalud - Hospital Mallorca, Palma de Mallorca, Spain
This item has received
Article information
Full Text
Download PDF
Statistics
Figures (1)
Additional material (1)
Full Text

This is the case of a 55-year-old patient admitted to the ICU after cardiac surgery to repair an ostium secundum-type interatrial communication and anomalous pulmonary venous drainage. After uneventful extubation is performed, the patient remains with hypoxemia and no alterations on the thoracic x-ray. The pulmonary ultrasound performed confirms the presence of a reduced right diaphragmatic movement compared to the left one (Video 1). Diaphragmatic excursion is measured with presence of a 16 mm reduced right excursion compared to a 60 mm left excursion (Fig. 1). These findings are consistent with right diaphragmatic paralysis associated with a probable lesion of the ipsilateral phrenic nerve during surgery. Conservative therapy with incentive spirometers is used. The patient progressed favorably until hospital discharge with persistent diaphragmatic dysfunction on the ultrasound.

Figure 1
(0.4MB).
Appendix A
Supplementary data

The following is Supplementary data to this article:

(0.54MB)

Copyright © 2020. Elsevier España, S.L.U. and SEMICYUC
Download PDF
Idiomas
Medicina Intensiva (English Edition)
Article options
Tools
Supplemental materials
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?