2016
DOI: 10.1055/s-0036-1595816 View full text |Buy / Rent full text
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Abstract: The perioperative management of diaphragmatic weakness and phrenic nerve dysfunction is complex, due to varied etiologies and clinical presentations. The factors leading to diaphragmatic weakness may culminate after the operation with transient or persistent respiratory failure. This review discusses diaphragmatic disorders and postoperative respiratory failure caused by unilateral or bilateral diaphragmatic impairment. The origins of neuromuscular weakness involving the diaphragm are diverse, and often lie wi… Show more

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“…Chest or abdomen surgeries in adults can cause diaphragmatic dysfunction as well as reduction of vital capacity, tidal volume, or forced expiratory volume in one second (FEV1), resulting in atelectasis. Furthermore, diaphragmatic dysfunction, postoperative pain, anesthetics, and postsurgical stress all suppress the clearance of secretions in the respiratory tract, leading to atelectasis or respiratory infections [ 15 ].…”
Section: Discussionmentioning