Matches in SemOpenAlex for { <https://semopenalex.org/work/W1978976710> ?p ?o ?g. }
Showing items 1 to 82 of
82
with 100 items per page.
- W1978976710 endingPage "424" @default.
- W1978976710 startingPage "421" @default.
- W1978976710 abstract "From January 1978 to December 1988, 109 phrenic nerve paralyses (PNP) occurred in a total of 9149 cardiac operations performed in a population of patients younger than 15 years old (1.2%) whose age varied from 1 day to 15 years old and mean weight was 11.3 +/- 8.7 kg. PNP was diagnosed in 43 patients after closed procedures (1.2% of 3509 procedures) and in 66 patients after open heart operations (1.2% of 5640 operations). PNP was right sided in 49 cases and left sided in 60 cases. Open heart operations that predisposed to PNP were those which needed harvesting of autologous pericardium (P less than 0.0001) and wide exposure of the great vessels. The modified right Blalock-Taussig shunt was the main cause of PNP in closed procedures (P less than 0.02). Small children tolerated PNP less well. They needed longer ventilatory support (P less than 0.0005) and developed more respiratory complications. Seventeen children underwent plication of the affected hemidiaphragm and could be subsequently extubated. It is concluded that for prevention of PNP, a high level of attention should be exercised in neonates and small children, particularly when pericardium is harvested or when exposure needs extensive dissection of the great vessels and thymus resection, or at reoperation. We also prefer to avoid the use of iced slush lavage. PNP, when symptomatic, is best managed by continuous positive airway pressure (CPAP) ventilation. Diaphragmatic plication is recommended when after 2-3 weeks there is no recovery of diaphragmatic function or when there are troublesome respiratory complications." @default.
- W1978976710 created "2016-06-24" @default.
- W1978976710 creator A5000884130 @default.
- W1978976710 creator A5036926341 @default.
- W1978976710 creator A5047165105 @default.
- W1978976710 creator A5047201494 @default.
- W1978976710 creator A5060131378 @default.
- W1978976710 creator A5081998679 @default.
- W1978976710 date "1990-01-01" @default.
- W1978976710 modified "2023-09-27" @default.
- W1978976710 title "Post cardiac surgery phrenic nerve palsy in pediatric patients" @default.
- W1978976710 cites W158466026 @default.
- W1978976710 cites W1967473126 @default.
- W1978976710 cites W2002802164 @default.
- W1978976710 cites W2003816406 @default.
- W1978976710 cites W2034862108 @default.
- W1978976710 cites W2075568006 @default.
- W1978976710 cites W2417473024 @default.
- W1978976710 doi "https://doi.org/10.1016/1010-7940(90)90071-7" @default.
- W1978976710 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/2171593" @default.
- W1978976710 hasPublicationYear "1990" @default.
- W1978976710 type Work @default.
- W1978976710 sameAs 1978976710 @default.
- W1978976710 citedByCount "23" @default.
- W1978976710 countsByYear W19789767102013 @default.
- W1978976710 countsByYear W19789767102014 @default.
- W1978976710 countsByYear W19789767102015 @default.
- W1978976710 countsByYear W19789767102017 @default.
- W1978976710 countsByYear W19789767102021 @default.
- W1978976710 countsByYear W19789767102022 @default.
- W1978976710 crossrefType "journal-article" @default.
- W1978976710 hasAuthorship W1978976710A5000884130 @default.
- W1978976710 hasAuthorship W1978976710A5036926341 @default.
- W1978976710 hasAuthorship W1978976710A5047165105 @default.
- W1978976710 hasAuthorship W1978976710A5047201494 @default.
- W1978976710 hasAuthorship W1978976710A5060131378 @default.
- W1978976710 hasAuthorship W1978976710A5081998679 @default.
- W1978976710 hasBestOaLocation W19789767101 @default.
- W1978976710 hasConcept C126322002 @default.
- W1978976710 hasConcept C141071460 @default.
- W1978976710 hasConcept C142724271 @default.
- W1978976710 hasConcept C20463939 @default.
- W1978976710 hasConcept C204787440 @default.
- W1978976710 hasConcept C2775862295 @default.
- W1978976710 hasConcept C2777099253 @default.
- W1978976710 hasConcept C2778875491 @default.
- W1978976710 hasConcept C42219234 @default.
- W1978976710 hasConcept C534529494 @default.
- W1978976710 hasConcept C71924100 @default.
- W1978976710 hasConceptScore W1978976710C126322002 @default.
- W1978976710 hasConceptScore W1978976710C141071460 @default.
- W1978976710 hasConceptScore W1978976710C142724271 @default.
- W1978976710 hasConceptScore W1978976710C20463939 @default.
- W1978976710 hasConceptScore W1978976710C204787440 @default.
- W1978976710 hasConceptScore W1978976710C2775862295 @default.
- W1978976710 hasConceptScore W1978976710C2777099253 @default.
- W1978976710 hasConceptScore W1978976710C2778875491 @default.
- W1978976710 hasConceptScore W1978976710C42219234 @default.
- W1978976710 hasConceptScore W1978976710C534529494 @default.
- W1978976710 hasConceptScore W1978976710C71924100 @default.
- W1978976710 hasIssue "8" @default.
- W1978976710 hasLocation W19789767101 @default.
- W1978976710 hasLocation W19789767102 @default.
- W1978976710 hasOpenAccess W1978976710 @default.
- W1978976710 hasPrimaryLocation W19789767101 @default.
- W1978976710 hasRelatedWork W1981279855 @default.
- W1978976710 hasRelatedWork W2002164564 @default.
- W1978976710 hasRelatedWork W2025508376 @default.
- W1978976710 hasRelatedWork W2035517441 @default.
- W1978976710 hasRelatedWork W2043141063 @default.
- W1978976710 hasRelatedWork W2064027747 @default.
- W1978976710 hasRelatedWork W2533901171 @default.
- W1978976710 hasRelatedWork W2587418903 @default.
- W1978976710 hasRelatedWork W3118622200 @default.
- W1978976710 hasRelatedWork W94476779 @default.
- W1978976710 hasVolume "4" @default.
- W1978976710 isParatext "false" @default.
- W1978976710 isRetracted "false" @default.
- W1978976710 magId "1978976710" @default.
- W1978976710 workType "article" @default.