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Nasal Mask Bilevel Positive Airway Pressure Ventilation for Diaphragmatic Paralysis After Pediatric Open-Heart Surgery

Pediatric Cardiology volume 25, pages 552–553 (2004)Cite this article

Abstract

A 2-year-old boy underwent surgical repair of tetralogy of Fallot. Topical cooling of the heart with ice slush was used during the operation. Diaphragmatic paralysis occurred after the operation, inducing severe respiratory distress. To avoid repeated intubation and tracheostomy, the patient was placed on nasal mask bilevel positive airway pressure (BiPAP) ventilation. After ventilatory support with BiPAP for 40 days, the patient recovered spontaneously from the paralysis. No sedation was required during this time. This report illustrates the usefulness of BiPAP for a pediatric patient with diaphragmatic paralysis after cardiac surgery.

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Affiliations

  1. Department of Cardiovascular Surgery, Tenri Hospital, 200 Mishima, Tenri, 632-8552, Japan

    Y. Tokuda, M. Matsumoto, T. Sugita & J. Nishizawa

Authors
  1. Y. Tokuda
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  2. M. Matsumoto
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  3. T. Sugita
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  4. J. Nishizawa
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Correspondence to Y. Tokuda.

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Tokuda, Y., Matsumoto, M., Sugita, T. et al. Nasal Mask Bilevel Positive Airway Pressure Ventilation for Diaphragmatic Paralysis After Pediatric Open-Heart Surgery. Pediatr Cardiol 25, 552–553 (2004). https://doi.org/10.1007/s00246-003-0575-3

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  • DOI: https://doi.org/10.1007/s00246-003-0575-3

Keywords

  • Nasal mask bilevel positive airway pressure
  • Noninvasive positive-pressure ventilation
  • Postoperative diaphragmatic paralysis
  • Pediatric cardiac surgery