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Vol. 37. Issue 10.
Pages 454-456 (October 2001)
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Vol. 37. Issue 10.
Pages 454-456 (October 2001)
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Parálisis diafragmágtica bilateral tras cirugía cardíaca
Bilateral diaphragm paralysis after cardiac surgery
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E. Miñambresa,
Corresponding author
eduardo_minambres@yahoo.es

Correspondencia: Dr. E. Miñambres Departamento de Medicina Intensiva.Hospital Universitario Marqués de Valdecilla.Avda. Valdecilla, s/n. 39008 Santander. Cantabria
, A. García Garcíac, J.C. Rodriguez Borregana, X. Antolínez Eizaguirrea, J. Gutiérrez Morloteb, J.M. San José Garagarzab
a Departamento de Medicina Intensiva. Hospital Universitario Marqués de Valdecilla. Santander. Cantabria
b Unidad Coronaria. Hospital Universitario Marqués de Valdecilla. Santander. Cantabria
c Servicio de Neurofisiología Clínica. Hospital Universitario Marqués de Valdecilla. Santander. Cantabria
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Se describe a 2 pacientes sometidos a cirugía cardíaca en los que se utilizó hipotermia local con hielo picado como mé-todo de protección miocárdica. En el postoperatorio presen-taron una insuficiencia respiratoria grave secundaria a una parálisis diafragmática bilateral completa. El diagnóstico de esta complicación y su posterior seguimiento se realizaron, en ambos casos, mediante un estudio neurofisiológico. Los 2 enfermos precisaron ventilación mecánica durante algunas semanas y la parálisis revirtió de forma completa después de varios meses

Palabras clave:
Parálisis diafragmática
Cirugía cardíaca
Hie-lo
Ventilación mecánica

We report two cardiac surgery patients on whom local hypothermia with slushed ice for myocardial protection was used. Bilateral diaphragm paralysis with respiratory failure occurred. In both cases, neurophysiologic studies have been used for the diagnosis. Prolonged ventilatory support was required for several weeks and they were totally recovered after months

Keywords:
Diaphragm paralysis
Cardiac surgery
Ice
Mecha-nical ventilation
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Copyright © 2001. Sociedad Española de Neumología y Cirugía Torácica
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