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Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report
RATIONALE: Massive mediastinal tumors present a major challenge for surgery and anesthesia management due to possible perioperative circulation and respiratory dysfunction. PATIENT CONCERNS: A 36-year-old female underwent difficulty with tracheal extubation and required mechanical ventilation for 3...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617445/ https://www.ncbi.nlm.nih.gov/pubmed/31261591 http://dx.doi.org/10.1097/MD.0000000000016252 |
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author | Wang, Kui-Rong Liu, Fan-Fan Zhou, Yan-Feng |
author_facet | Wang, Kui-Rong Liu, Fan-Fan Zhou, Yan-Feng |
author_sort | Wang, Kui-Rong |
collection | PubMed |
description | RATIONALE: Massive mediastinal tumors present a major challenge for surgery and anesthesia management due to possible perioperative circulation and respiratory dysfunction. PATIENT CONCERNS: A 36-year-old female underwent difficulty with tracheal extubation and required mechanical ventilation for 3 months after resection of a massive mediastinal tumor. DIAGNOSES: Postoperative B-ultrasound examination of diaphragmatic motor weakness and electrophysiological examination indicated respiratory failure due to phrenic nerve injury. INTERVENTIONS: The patient failed tracheal extubation several times after the operation and finally a tracheotomy was performed. Mechanical ventilation, anti-infective treatment, and systemic supportive treatment were provided. OUTCOMES: The patient recovered well after tracheotomy and approximately 3 months of ventilation support. LESSONS: Weaning difficulty caused by phrenic nerve injury seriously affected patient postoperative rehabilitation. To reduce the occurrence of similar problems, intraoperative phrenic nerve electrophysiological monitoring should be conducted. |
format | Online Article Text |
id | pubmed-6617445 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-66174452019-07-22 Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report Wang, Kui-Rong Liu, Fan-Fan Zhou, Yan-Feng Medicine (Baltimore) Research Article RATIONALE: Massive mediastinal tumors present a major challenge for surgery and anesthesia management due to possible perioperative circulation and respiratory dysfunction. PATIENT CONCERNS: A 36-year-old female underwent difficulty with tracheal extubation and required mechanical ventilation for 3 months after resection of a massive mediastinal tumor. DIAGNOSES: Postoperative B-ultrasound examination of diaphragmatic motor weakness and electrophysiological examination indicated respiratory failure due to phrenic nerve injury. INTERVENTIONS: The patient failed tracheal extubation several times after the operation and finally a tracheotomy was performed. Mechanical ventilation, anti-infective treatment, and systemic supportive treatment were provided. OUTCOMES: The patient recovered well after tracheotomy and approximately 3 months of ventilation support. LESSONS: Weaning difficulty caused by phrenic nerve injury seriously affected patient postoperative rehabilitation. To reduce the occurrence of similar problems, intraoperative phrenic nerve electrophysiological monitoring should be conducted. Wolters Kluwer Health 2019-06-28 /pmc/articles/PMC6617445/ /pubmed/31261591 http://dx.doi.org/10.1097/MD.0000000000016252 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 |
spellingShingle | Research Article Wang, Kui-Rong Liu, Fan-Fan Zhou, Yan-Feng Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report |
title | Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report |
title_full | Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report |
title_fullStr | Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report |
title_full_unstemmed | Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report |
title_short | Difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: A case report |
title_sort | difficulties in tracheal extubation due to phrenic nerve injury during massive mediastinal tumor resection: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617445/ https://www.ncbi.nlm.nih.gov/pubmed/31261591 http://dx.doi.org/10.1097/MD.0000000000016252 |
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