An Elevated Hemidiaphragm 3 Months after Internal Jugular Vein Hemodialysis Catheter Placement

dc.contributor.authorMir S.
dc.contributor.authorSerdaroglu E.
dc.date.accessioned2019-10-27T00:23:30Z
dc.date.available2019-10-27T00:23:30Z
dc.date.issued2003
dc.departmentEge Üniversitesien_US
dc.description.abstractPhrenic nerve palsy following central venous catheterization is a rare complication and is not well recognized. We present a 33 months old girl who has renal failure secondary to nephrotic syndrome. A left internal jugular catheter was placed using the Seldinger technique after a single injection of 2 ml prilocaine hydrochloride for local anesthesia and a single internal jugular vein cannulation. Subsequent chest roentgenograms confirmed proper catheter and diaphragm position. Three months after catheter placement, decreased breath sounds on the left side of the chest were noted. Left phrenic nerve palsy was demonstrated with fluoroscopy and electromyography with external diaphragmatic elecrodes. The nerve damage was delayed after catheter placement, it seems unlikely that it was related to direct nerve trauma from the cannulation needle, local anesthetic infiltration of the nerve, or subsequent hematoma formation in this case. The phrenic nerve is in close proximity to both the catheter and the vein in which the catheter rests, an inflammatory reaction related to the catheter has been suggested as the cause for the nerve damage.en_US
dc.identifier.doi10.1046/j.1525-139X.2003.16054.xen_US
dc.identifier.endpage283en_US
dc.identifier.issn0894-0959
dc.identifier.issue3en_US
dc.identifier.pmid12753693en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage281en_US
dc.identifier.urihttps://doi.org/10.1046/j.1525-139X.2003.16054.x
dc.identifier.urihttps://hdl.handle.net/11454/22840
dc.identifier.volume16en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofSeminars in Dialysisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleAn Elevated Hemidiaphragm 3 Months after Internal Jugular Vein Hemodialysis Catheter Placementen_US
dc.typeArticleen_US

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