A prospective study of phrenic nerve damage after cardiac surgery in children

Objective To gather detailed data on the incidence of phrenic nerve damage (PND) following cardiac surgery in children, the risk factors for its development, its effect on morbidity and its prognosis. Design Prospective electrophysiological measurement of phrenic nerve latency in 310 children before...

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Bibliographic Details
Published in:Intensive care medicine 2008-04, Vol.34 (4), p.728-734
Main Authors: Ross Russell, Robert I., Helms, Peter J., Elliott, Martin J.
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthesiology
Biological and medical sciences
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - mortality
Critical Care Medicine
Electrodes
Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care
Emergency Medicine
Female
Heart surgery
Humans
Incidence
Infant
Infant, Newborn
Intensive
Intensive care
Intensive care medicine
Logistic Models
Male
Medical sciences
Medicine
Medicine & Public Health
Morbidity
Mortality
Pain Medicine
Pediatric Original
Pediatrics
Peripheral Nervous System Diseases - epidemiology
Peripheral Nervous System Diseases - etiology
Phrenic Nerve - injuries
Pneumology/Respiratory System
Prognosis
Prospective Studies
Risk Factors
United Kingdom - epidemiology
Ventilators
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Summary:Objective To gather detailed data on the incidence of phrenic nerve damage (PND) following cardiac surgery in children, the risk factors for its development, its effect on morbidity and its prognosis. Design Prospective electrophysiological measurement of phrenic nerve latency in 310 children before and after cardiac surgery. Setting Tertiary paediatric cardiac surgical centre. Measurements and results Our findings were fourfold. Firstly, the incidence of PND in our group of patients was 20%, significantly higher than estimates using indirect methods of assessment. Secondly, PND increased the duration of ventilation by a median of 76 h (20 vs. 96 h; p  
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-007-0977-4