Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-03T22:51:58.160Z Has data issue: false hasContentIssue false

Reversible diaphragmatic paralysis caused by a malpositioned chest tube

Published online by Cambridge University Press:  30 December 2014

Yu Nakagama*
Affiliation:
Department of Pediatrics, Yaizu City Hospital, Yaizu-shi, Japan Department of Pediatric Cardiology and Cardiovascular Surgery, National Medical Center for Children and Mothers, Tokyo, Japan
Yukihiro Kaneko
Affiliation:
Department of Pediatric Cardiology and Cardiovascular Surgery, National Medical Center for Children and Mothers, Tokyo, Japan
Hiroshi Ono
Affiliation:
Department of Pediatric Cardiology and Cardiovascular Surgery, National Medical Center for Children and Mothers, Tokyo, Japan
*
Correspondence to: Dr Y. Nakagama, MD, Department of Pediatrics, Yaizu City Hospital, 1000 Doubara, Yaizu-shi, Shizuoka 425-8505, Japan. Tel: +81 54 623 3111; Fax: +81 54 624 9103; E-mail: yuu.nakagama@hospital.yaizu.shizuoka.jp

Abstract

We report a case of reversible diaphragmatic paralysis caused by a malpositioned chest tube, a diagnosis to consider when unexplained respiratory failure occurs following drainage of pleural effusion. Prompt recognition and removal of the tube led to full recovery of diaphragm function.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Smith, BM, Ezeokoli, NJ, Kipps, AK, Azakie, A, Meadows, JJ. Course, predictors of diaphragm recovery after phrenic nerve injury during pediatric cardiac surgery. Ann Thorac Surg 2013; 96: 938942.CrossRefGoogle ScholarPubMed
2. Hwang, MS, Chu, JJ, Su, WJ. Diaphragmatic paralysis caused by malposition of chest tube placement after pediatric cardiac surgery. Int J Cardiol 2005; 99: 129131.CrossRefGoogle ScholarPubMed
3. Williams, O, Greenough, A, Mustfa, N, Haugen, S, Rafferty, GR. Extubation failure due to phrenic nerve injury. Arch Dis Child Fetal Neonatal Ed 2003; 88: F72F73.CrossRefGoogle ScholarPubMed
4. Nahum, E, Ben-Ari, J, Schonfeld, T, Horev, G. Acute diaphragmatic paralysis caused by chest tube trauma to phrenic nerve. Pediatr Radiol 2001; 31: 444446.CrossRefGoogle ScholarPubMed
5. Odita, JC, Khan, AS, Dincsoy, M, Kayyali, M, Masoud, A, Ammari, A. Neonatal phrenic nerve paralysis resulting from intercostal drainage of pneumothorax. Pediatr Radiol 1992; 22: 379381.CrossRefGoogle ScholarPubMed
6. Arya, H, Williams, J, Ponsford, SN, Bissenden, JG. Neonatal diaphragmatic paralysis caused by chest drains. Arch Dis Child 1991; 66: 441442.CrossRefGoogle ScholarPubMed
7. Palomeque, A, Canadell, D, Pastor, X. Acute diaphragmatic paralysis after chest tube placement. Intensive Care Med 1990; 16: 138.CrossRefGoogle ScholarPubMed
8. Marinelli, PV, Ostiz, A, Alden, ER. Acquired eventration of the diaphragm: a complication of chest tube placement in neonatal pneumothorax. Pediatrics 1981; 67: 551554.CrossRefGoogle ScholarPubMed
9. Philipps, AF, Rowe, JC, Raye, JR. Acute diaphragmatic paralysis after chest tube placement in a neonate. AJR 1981; 136: 834835.CrossRefGoogle ScholarPubMed
10. Ayalon, A, Anner, H, Moghilner, M, Schiller, M. Eventration of the diaphragm due to phrenic nerve injury caused by intercostal drainage. J Pediatr Surg 1979; 14: 473474.CrossRefGoogle ScholarPubMed