Bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a COVID-19 patient

Bilateral continuous phrenic nerve block effectively regulates refractory persistent, strong inspiratory effort in a patient with coronavirus disease (COVID-19). A 73-year-old man with acute respiratory distress syndrome (ARDS) due to COVID-19 was admitted to the intensive care unit (ICU). Use of ne...

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Autores principales: Nakayama, Ryuichi, Iwamoto, Yusuke, Bunya, Naofumi, Sawada, Atsushi, Takahashi, Kazunobu, Goto, Yuya, Kasai, Takehiko, Kakizaki, Ryuichiro, Uemura, Shuji, Narimatsu, Eichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222048/
https://www.ncbi.nlm.nih.gov/pubmed/34189030
http://dx.doi.org/10.1016/j.rmcr.2021.101455
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author Nakayama, Ryuichi
Iwamoto, Yusuke
Bunya, Naofumi
Sawada, Atsushi
Takahashi, Kazunobu
Goto, Yuya
Kasai, Takehiko
Kakizaki, Ryuichiro
Uemura, Shuji
Narimatsu, Eichi
author_facet Nakayama, Ryuichi
Iwamoto, Yusuke
Bunya, Naofumi
Sawada, Atsushi
Takahashi, Kazunobu
Goto, Yuya
Kasai, Takehiko
Kakizaki, Ryuichiro
Uemura, Shuji
Narimatsu, Eichi
author_sort Nakayama, Ryuichi
collection PubMed
description Bilateral continuous phrenic nerve block effectively regulates refractory persistent, strong inspiratory effort in a patient with coronavirus disease (COVID-19). A 73-year-old man with acute respiratory distress syndrome (ARDS) due to COVID-19 was admitted to the intensive care unit (ICU). Use of neuromuscular blocking agents (NMBAs) was stopped due to uncontrollable strong inspiratory efforts and worsened lung injury. We performed bilateral continuous phrenic nerve block, which suppressed inspiratory efforts, resulting in lung injury improvement. A bilateral continuous phrenic nerve block is a viable alternative to control refractory strong inspiratory effort leading to lung injury in cases with prolonged NMBA use.
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spelling pubmed-82220482021-06-25 Bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a COVID-19 patient Nakayama, Ryuichi Iwamoto, Yusuke Bunya, Naofumi Sawada, Atsushi Takahashi, Kazunobu Goto, Yuya Kasai, Takehiko Kakizaki, Ryuichiro Uemura, Shuji Narimatsu, Eichi Respir Med Case Rep Case Report Bilateral continuous phrenic nerve block effectively regulates refractory persistent, strong inspiratory effort in a patient with coronavirus disease (COVID-19). A 73-year-old man with acute respiratory distress syndrome (ARDS) due to COVID-19 was admitted to the intensive care unit (ICU). Use of neuromuscular blocking agents (NMBAs) was stopped due to uncontrollable strong inspiratory efforts and worsened lung injury. We performed bilateral continuous phrenic nerve block, which suppressed inspiratory efforts, resulting in lung injury improvement. A bilateral continuous phrenic nerve block is a viable alternative to control refractory strong inspiratory effort leading to lung injury in cases with prolonged NMBA use. Elsevier 2021-06-24 /pmc/articles/PMC8222048/ /pubmed/34189030 http://dx.doi.org/10.1016/j.rmcr.2021.101455 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nakayama, Ryuichi
Iwamoto, Yusuke
Bunya, Naofumi
Sawada, Atsushi
Takahashi, Kazunobu
Goto, Yuya
Kasai, Takehiko
Kakizaki, Ryuichiro
Uemura, Shuji
Narimatsu, Eichi
Bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a COVID-19 patient
title Bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a COVID-19 patient
title_full Bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a COVID-19 patient
title_fullStr Bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a COVID-19 patient
title_full_unstemmed Bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a COVID-19 patient
title_short Bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a COVID-19 patient
title_sort bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a covid-19 patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222048/
https://www.ncbi.nlm.nih.gov/pubmed/34189030
http://dx.doi.org/10.1016/j.rmcr.2021.101455
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