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Phrenic Nerve Injury During Cardiac Surgery: Mechanisms, Management and Prevention
Phrenic nerve injury is a well-recognised complication of cardiac surgery that can lead to disabling effects from diaphragmatic dysfunction, especially in children and patients with a history of chronic obstructive airway disease. Various mechanisms of injury have been recognised including hypotherm...
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Published in: | Heart, lung & circulation lung & circulation, 2013-11, Vol.22 (11), p.895-902 |
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container_title | Heart, lung & circulation |
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creator | Aguirre, Victor J., MBBS Sinha, Priyanka, MBBS Zimmet, Adam, FRACS Lee, Geraldine A., MPhil Kwa, Lachlan, MBBS, BmedSc Rosenfeldt, Franklin, MD, FRACS |
description | Phrenic nerve injury is a well-recognised complication of cardiac surgery that can lead to disabling effects from diaphragmatic dysfunction, especially in children and patients with a history of chronic obstructive airway disease. Various mechanisms of injury have been recognised including hypothermia, mechanical trauma and possibly ischaemia. A clear understanding of these mechanisms is important in order to modify surgical techniques to prevent this serious complication of cardiac surgery. |
doi_str_mv | 10.1016/j.hlc.2013.06.010 |
format | article |
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A clear understanding of these mechanisms is important in order to modify surgical techniques to prevent this serious complication of cardiac surgery.</description><identifier>ISSN: 1443-9506</identifier><identifier>EISSN: 1444-2892</identifier><identifier>DOI: 10.1016/j.hlc.2013.06.010</identifier><identifier>PMID: 23948287</identifier><language>eng</language><publisher>Australia: Elsevier B.V</publisher><subject>Adolescent ; Cardiac Surgical Procedures - adverse effects ; Cardiovascular ; Child ; Child, Preschool ; Cold cardioplegia ; Diaphragmatic paralysis ; Humans ; Ice slush ; Internal mammary artery ; Pericardiacophrenic artery ; Peripheral Nerve Injuries - etiology ; Peripheral Nerve Injuries - pathology ; Peripheral Nerve Injuries - prevention & control ; Phrenic nerve ; Phrenic Nerve - injuries</subject><ispartof>Heart, lung & circulation, 2013-11, Vol.22 (11), p.895-902</ispartof><rights>2013</rights><rights>Crown Copyright © 2013. Published by Elsevier B.V. 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A clear understanding of these mechanisms is important in order to modify surgical techniques to prevent this serious complication of cardiac surgery.</description><subject>Adolescent</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Cardiovascular</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cold cardioplegia</subject><subject>Diaphragmatic paralysis</subject><subject>Humans</subject><subject>Ice slush</subject><subject>Internal mammary artery</subject><subject>Pericardiacophrenic artery</subject><subject>Peripheral Nerve Injuries - etiology</subject><subject>Peripheral Nerve Injuries - pathology</subject><subject>Peripheral Nerve Injuries - prevention & control</subject><subject>Phrenic nerve</subject><subject>Phrenic Nerve - injuries</subject><issn>1443-9506</issn><issn>1444-2892</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9kUFP3DAUhK2KqlDoD-il8pEDSZ8Txxu3EhLa0hYJKCpwthz7Zddp4oC9WWn_Pd4u7YEDpzeHmZHeN4R8ZJAzYOJzly97kxfAyhxEDgzekAPGOc-KWhZ7f3WZyQrEPnkfYwfAZryU78h-UUpeF_XsgPy-WQb0ztBrDGukF76bwoZ-m4LzCzrXwTpt6O0UFhg2X-gVmqX2Lg7xhF5prxc4oF9R7S29CbhO2o3-iLxtdR_xw_M9JPffz-_mP7PLXz8u5meXmeGcrTLJocFKCGGxbitbNCCkRhSGQ8UNCm5r3UohOc6aRkiwtaxExbVsLVjdmPKQHO96H8L4OGFcqcFFg32vPY5TVIwLVnKoeZWsbGc1YYwxYKseght02CgGaotSdSqhVFuUCoRKKFPm03P91Axo_yf-sUuGrzsDpifXDoOKxqE3aF1As1J2dK_Wn75Im96lIXT_BzcYu3EKPtFTTMVCgbrdbrmdkpUpXaXzBCAAmOA</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Aguirre, Victor J., MBBS</creator><creator>Sinha, Priyanka, MBBS</creator><creator>Zimmet, Adam, FRACS</creator><creator>Lee, Geraldine A., MPhil</creator><creator>Kwa, Lachlan, MBBS, BmedSc</creator><creator>Rosenfeldt, Franklin, MD, FRACS</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131101</creationdate><title>Phrenic Nerve Injury During Cardiac Surgery: Mechanisms, Management and Prevention</title><author>Aguirre, Victor J., MBBS ; Sinha, Priyanka, MBBS ; Zimmet, Adam, FRACS ; Lee, Geraldine A., MPhil ; Kwa, Lachlan, MBBS, BmedSc ; Rosenfeldt, Franklin, MD, FRACS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-940be5666de8f5d2b069aee6c4054ce64d8af9694e7bb690d895654a9fd0dabc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Cardiovascular</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cold cardioplegia</topic><topic>Diaphragmatic paralysis</topic><topic>Humans</topic><topic>Ice slush</topic><topic>Internal mammary artery</topic><topic>Pericardiacophrenic artery</topic><topic>Peripheral Nerve Injuries - etiology</topic><topic>Peripheral Nerve Injuries - pathology</topic><topic>Peripheral Nerve Injuries - prevention & control</topic><topic>Phrenic nerve</topic><topic>Phrenic Nerve - injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aguirre, Victor J., MBBS</creatorcontrib><creatorcontrib>Sinha, Priyanka, MBBS</creatorcontrib><creatorcontrib>Zimmet, Adam, FRACS</creatorcontrib><creatorcontrib>Lee, Geraldine A., MPhil</creatorcontrib><creatorcontrib>Kwa, Lachlan, MBBS, BmedSc</creatorcontrib><creatorcontrib>Rosenfeldt, Franklin, MD, FRACS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Heart, lung & circulation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aguirre, Victor J., MBBS</au><au>Sinha, Priyanka, MBBS</au><au>Zimmet, Adam, FRACS</au><au>Lee, Geraldine A., MPhil</au><au>Kwa, Lachlan, MBBS, BmedSc</au><au>Rosenfeldt, Franklin, MD, FRACS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Phrenic Nerve Injury During Cardiac Surgery: Mechanisms, Management and Prevention</atitle><jtitle>Heart, lung & circulation</jtitle><addtitle>Heart Lung Circ</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>22</volume><issue>11</issue><spage>895</spage><epage>902</epage><pages>895-902</pages><issn>1443-9506</issn><eissn>1444-2892</eissn><abstract>Phrenic nerve injury is a well-recognised complication of cardiac surgery that can lead to disabling effects from diaphragmatic dysfunction, especially in children and patients with a history of chronic obstructive airway disease. 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source | ScienceDirect Journals |
subjects | Adolescent Cardiac Surgical Procedures - adverse effects Cardiovascular Child Child, Preschool Cold cardioplegia Diaphragmatic paralysis Humans Ice slush Internal mammary artery Pericardiacophrenic artery Peripheral Nerve Injuries - etiology Peripheral Nerve Injuries - pathology Peripheral Nerve Injuries - prevention & control Phrenic nerve Phrenic Nerve - injuries |
title | Phrenic Nerve Injury During Cardiac Surgery: Mechanisms, Management and Prevention |
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