Difficult to wean: think of the diaphragm

Suryanarayana, Jandhyala and Varma, Muralidhar and Vidyasagar, Sudha and Vivek, G (2014) Difficult to wean: think of the diaphragm. BMJ Case Report. pp. 1-3.

[img] PDF
BMJ Case Reports-2014-Suryanarayana-bcr-2013-202202.pdf - Published Version
Restricted to Registered users only

Download (182kB) | Request a copy


A 65-year-old woman, treated for non-ST segment elevation myocardial infarction and unexplained type 2 respiratory failure, was referred to our hospital in view ofm difficulty in weaning off the ventilator. She was evaluated in detail for persistent hypercapnia. Ultrasound of the diaphragm showed minimal excursion ofm diaphragm while she was off the ventilator and fluoroscopy confirmed bilateral diaphragmatic palsy. As extensive radiological, immunological and microbiological workup ruled out other possible aetiologies, a diagnosis of idiopathic Bell’s palsy of the diaphragm was made. She was treated with valacyclovir and steroids after which she gradually recovered and was weaned off the ventilator.

Item Type: Article
Subjects: Medicine > KMC Manipal > Cardiology
Depositing User: KMC Manipal
Date Deposited: 21 Aug 2014 10:19
Last Modified: 21 Aug 2014 10:19
URI: http://eprints.manipal.edu/id/eprint/140410

Actions (login required)

View Item View Item