Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1990-5-30
pubmed:abstractText
Diaphragmatic dysfunction, most commonly elevation of the left hemidiaphragm and/or phrenic nerve paralysis, are well-known complications of coronary artery bypass grafting (CABG). Diaphragmatic flutter (DF) is an easily overlooked breathing pattern characterized by rapid (greater than 40 times/min) involuntary contractions of the diaphragm, at times superimposed on a more normal breathing pattern (dirhythmic breathing). Using respiratory inductive plethysmography, we were able to record this unusual ventilatory pattern in four patients after CABG. All procedures were performed via median sternotomy with topical hypothermia. Sternal complications were present in three cases (instability, dehiscence, infection). DF could not be suppressed by mechanical hyperventilation or patient volition. Weaning was unsuccessful until after DF abated. Diaphragmatic flutter may occur after CABG and should be considered as a cause of failure to wean from mechanical ventilator support in this setting.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0090-3493
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
499-501
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1990
pubmed:articleTitle
Diaphragmatic flutter resulting in failure to wean from mechanical ventilator support after coronary artery bypass surgery.
pubmed:affiliation
Division of Pulmonary Disease, University of Miami School of Medicine, Mount Sinai Medical Center, FL 33140.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't