Bilateral phrenic nerve block as an effective means of controlling inspiratory efforts in a COVID-19 patient.
Respir Med Case Rep
; 33: 101455, 2021.
Article
in English
| MEDLINE | ID: covidwho-1286375
ABSTRACT
Bilateral continuous phrenic nerve block effectively regulates refractory persistent, strong inspiratory effort in a patient with coronavirus disease (COVID-19). A 73-year-old man with acute respiratory distress syndrome (ARDS) due to COVID-19 was admitted to the intensive care unit (ICU). Use of neuromuscular blocking agents (NMBAs) was stopped due to uncontrollable strong inspiratory efforts and worsened lung injury. We performed bilateral continuous phrenic nerve block, which suppressed inspiratory efforts, resulting in lung injury improvement. A bilateral continuous phrenic nerve block is a viable alternative to control refractory strong inspiratory effort leading to lung injury in cases with prolonged NMBA use.
ARDS, acute respiratory distress syndrome; Acute respiratory distress syndrome; COVID-19; COVID-19, coronavirus disease; CT, computed tomography; Case report; Edi, electrical activity of the diaphragm; ICU, intensive care unit; ICU-AW, intensive care unit-acquired weakness; NMBAs, neuromuscular blocking agents; Neuromuscular blocking agents; P-SILI, patient self-inflicted lung injury; PEEP, positive end-expiratory pressure; Patient self-inflicted lung injury; Pes, oesophageal pressure; Phrenic nerve block; â¿Pes, change in oesophageal pressure
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Case report
/
Experimental Studies
/
Observational study
Language:
English
Journal:
Respir Med Case Rep
Year:
2021
Document Type:
Article
Affiliation country:
J.rmcr.2021.101455
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