Neonatology Book

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Phrenic Nerve Injury from Birth Trauma

Aka: Phrenic Nerve Injury from Birth Trauma
  1. Pathophysiology
    1. Associated with Brachial Birth Trauma
    2. Unilateral diaphragm paralysis
  2. Signs
    1. Respiratory distress
    2. Diminished breath sounds on affected side
  3. Radiology: Ultrasound or Fluoroscopy of diaphragm
    1. Diaphragm elevated on affected side
    2. Affected diaphragm moves upward with inspiration
  4. Management
    1. Pulmonary toilet while resolving
    2. Refractory cases
      1. Diaphragmatic plication
      2. Phrenic nerve pacing
  5. Course
    1. Resolves over 1 to 3 months

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