Falla en la extubación en el paciente con trauma raquimedular: parálisis diafragmática. Una entidad por considerar
Palabras clave:
parálisis diafragmática, parálisis respiratoria, intubación intratraqueal, fracturas de la columna vertebral, traumatismos de la médula espinal, parálisis de músculos respiratorios
Resumen
La parálisis diafragmática es una entidad con epidemiologia no constatada, sin embargo, debe considerarse en el paciente con antecedente de trauma raquimedular asociado que presente signos tempranos de dificultad respiratoria, para de esta forma investigar y ofrecer manejos oportunos en esta condición clínica. Se presenta caso de varón de 65 años con debilidad diafragmática crónica por antecedente de herida por arma de fuego a nivel de la columna cervical.
Citas
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8. Windisch W, Schönhofer B, Magnet FS, Stoelben E, Kabitz HJ. Diagnosis and Treatment of Diaphragmatic Dysfunction. Pneumologie [Internet]. 2016 [cited 2023 Feb 15];70(7):454–61. Available from: https://pubmed.ncbi.nlm.nih.gov/27411076. doi: 10.1055/s-0042-106694
9. Liu F, Zhang Y, Schafer J, Mao G, Goshgarian HG. Diaphragmatic recovery in rats with cervical spinal cord injury induced by a theophylline nanoconjugate: Challenges for clinical use. J Spinal Cord Med [Internet]. 2019 [cited 2023 Feb 15];42(6):725–34. Available from: https://pubmed.ncbi.nlm.nih.gov/30843479. doi: 10.1080/10790268.2019.1577058
10. Koopman M, Vanfleteren LEGW, Steijns S, Wouters EFM, Sprooten R. Increased exercise tolerance using daytime mouthpiece ventilation for patients with diaphragm paralysis. Breathe (Sheff) [Internet]. 2017 [cited 2023 Feb 15] ;13(3):225–9. Available from: https://pubmed.ncbi.nlm.nih.gov/28894483. doi: 10.1183/20734735.005817
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12. Harris K, Maniatis G, Siddiqui F, Maniatis T. Phrenic nerve injury and diaphragmatic paralysis following pacemaker pulse generator replacement. Hear Lung [Internet]. 2013 [cited 2023 Feb 15];42(1):65–6. Available from: https://pubmed.ncbi.nlm.nih.gov/23083538.
doi: 10.1016/j.hrtlng.2012.09.002
13. Kaufman MR, Bauer T, Onders RP, Brown DP, Chang EI, Rossi K, et al. Treatment for bilateral diaphragmatic dysfunction using phrenic nerve reconstruction and diaphragm pacemakers. Interact Cardiovasc Thorac Surg [Internet]. 2021 [cited 2023 Feb 15];32(5):753–60. Available from: https://pubmed.ncbi.nlm.nih.gov/33432336. doi: 10.1093/icvts/ivaa324
2. Onders RP, Elmo M, Kaplan C, Katirji B, Schilz R. Extended use of diaphragm pacing in patients with unilateral or bilateral diaphragm dysfunction: A new therapeutic option. Surgery. 2014; 156(4):776–84. doi: 10.1016/j.surg.2014.07.021
3. Carrillo Esper R, Pérez Calatayud AA, Peña Pérez CA. Evaluación ultrasonográfica de la función diafragmática mediante doble abordaje en el paciente grave. Rev Asoc Mex Med Crit Ter Intensiva [Internet]. 2016 [citado 15 Feb 2023];30(4): 242-5. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0187-84332016000400242&lng=es&nrm=iso&tlng=es
4. Ricoy J, Rodríguez-Núñez N, Álvarez-Dobaño JM, Toubes ME, Riveiro V, Valdés L. Diaphragmatic dysfunction. Pulmonology [Internet]. 2019 [cited 2023 Feb 15];25(4):223–35. Available from: https://www.sciencedirect.com/science/article/pii/S2531043718301624?via%3Dihub. doi: https://doi.org/10.1016/j.pulmoe.2018.10.008
5. Göhl O, Walker DJ, Walterspacher S, Langer D, Spengler CM, Wanke T, et al. Respiratory muscle training: State of the art. Pneumologie [Internet]. 2016 [cited 2023 Feb 15];70(1):37–48. Available from: https://pubmed.ncbi.nlm.nih.gov/26789431. doi: 10.1055/s-0041-109312
6. Hardavella G, Karampinis I, Frille A, Sreter K, Rousalova I. Oxygen devices and delivery systems. Breathe (Sheff) [Internet]. 2019 [cited 2023 Feb 15]; 15(3):e108–16. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6876135. doi: 10.1183/20734735.0204-2019
7. van den Biggelaar R, Hazenberg A, Duiverman ML. The role of telemonitoring in patients on home mechanical ventilation. Eur Respir Rev [Internet]. 2023 [cited 2023 Feb 15];32(168):220207. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10074164. doi: 10.1183/16000617.0207-2022
8. Windisch W, Schönhofer B, Magnet FS, Stoelben E, Kabitz HJ. Diagnosis and Treatment of Diaphragmatic Dysfunction. Pneumologie [Internet]. 2016 [cited 2023 Feb 15];70(7):454–61. Available from: https://pubmed.ncbi.nlm.nih.gov/27411076. doi: 10.1055/s-0042-106694
9. Liu F, Zhang Y, Schafer J, Mao G, Goshgarian HG. Diaphragmatic recovery in rats with cervical spinal cord injury induced by a theophylline nanoconjugate: Challenges for clinical use. J Spinal Cord Med [Internet]. 2019 [cited 2023 Feb 15];42(6):725–34. Available from: https://pubmed.ncbi.nlm.nih.gov/30843479. doi: 10.1080/10790268.2019.1577058
10. Koopman M, Vanfleteren LEGW, Steijns S, Wouters EFM, Sprooten R. Increased exercise tolerance using daytime mouthpiece ventilation for patients with diaphragm paralysis. Breathe (Sheff) [Internet]. 2017 [cited 2023 Feb 15] ;13(3):225–9. Available from: https://pubmed.ncbi.nlm.nih.gov/28894483. doi: 10.1183/20734735.005817
11. Kaufman MR, Elkwood AI, Colicchio AR, Cece J, Jarrahy R, Willekes LJ, et al. Functional restoration of diaphragmatic paralysis: an evaluation of phrenic nerve reconstruction. Ann Thorac Surg [Internet]. 2014 [cited 2023 Feb 15];97(1):260–6. Available from: https://pubmed.ncbi.nlm.nih.gov/24266954. doi: 10.1016/j.athoracsur.2013.09.052
12. Harris K, Maniatis G, Siddiqui F, Maniatis T. Phrenic nerve injury and diaphragmatic paralysis following pacemaker pulse generator replacement. Hear Lung [Internet]. 2013 [cited 2023 Feb 15];42(1):65–6. Available from: https://pubmed.ncbi.nlm.nih.gov/23083538.
doi: 10.1016/j.hrtlng.2012.09.002
13. Kaufman MR, Bauer T, Onders RP, Brown DP, Chang EI, Rossi K, et al. Treatment for bilateral diaphragmatic dysfunction using phrenic nerve reconstruction and diaphragm pacemakers. Interact Cardiovasc Thorac Surg [Internet]. 2021 [cited 2023 Feb 15];32(5):753–60. Available from: https://pubmed.ncbi.nlm.nih.gov/33432336. doi: 10.1093/icvts/ivaa324
