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Published on October 3, 2008
Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2008.187096
© 2008 European Association of Cardio-Thoracic Surgery

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Lubica Kovacikova
Dusan Dobos
Martin Zahorec
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Right arrow Congenital - acyanotic
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Right arrow Diaphragm

Congenital

Non-invasive positive pressure ventilation for bilateral diaphragm paralysis after pediatric cardiac surgery

Lubica Kovacikova 1*, Dusan Dobos 1, Martin Zahorec 1

1 Pediatric Cardiac Center, Bratislava, Slovakia

* To whom correspondence should be addressed. E-mail: lkovacikova{at}yahoo.com.


   Abstract
We present the case histories of two children having respiratory failure due to bilateral diaphragm paralysis after cardiac surgery. In both children non-invasive positive pressure ventilation alleviated respiratory distress, improved gas exchange, and prevented the need for endotracheal intubation. Following unilateral recovery of diaphragmatic function both children were successfully weaned from non-invasive positive pressure ventilation. Keywords: Ventilation; Congenital heart disease; Diaphragm; Complications





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