Abstract
Phrenic nerve palsy (PNP) is a well-recognized complication after cardiac surgery which might occur as a result of topical myocardial cooling, direct injury or ischemia. It can result in deleterious respiratory effects especially in children and in patient with chronic obstructive pulmonary disease which adversely affect recovery and increase the length of ICU and hospital stay. Topical application of iced slush has been used for decades in hypothermic cardiac surgery, the effect of the direct contact between the iced slush and phrenic nerve might increase the incidence of nerve palsy and diaphragmatic dysfunction. Recently normothermic cardiac surgery has been employed largely to avoid the adverse effects of hypothermia.
Highlights
Background/Introduction Phrenic nerve palsy (PNP) is a well-recognized complication after cardiac surgery which might occur as a result of topical myocardial cooling, direct injury or ischemia
Topical application of iced slush has been used for decades in hypothermic cardiac surgery, the effect of the direct contact between the iced slush and phrenic nerve might increase the incidence of nerve palsy and diaphragmatic dysfunction
In the ICE group PNP was observed in 10.8% (11 of 102 patients) versus 0% (0 of 94 patients) in the WARM group (p = 0.0010), there were no significant difference between both groups regarding the mean age, preoperative respiratory risk factors, and aortic cross clamp time
Summary
Background/Introduction Phrenic nerve palsy (PNP) is a well-recognized complication after cardiac surgery which might occur as a result of topical myocardial cooling, direct injury or ischemia. Role of topical application of iced slush in the development of phrenic nerve palsy after cardiac surgery From World Society of Cardiothoracic Surgeons 25th Anniversary Congress, Edinburgh Edinburgh, UK.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have