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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893

Abstract

SERNA-TREJOS, Juan Santiago; BERMUDEZ-MOYANO, Stefanya Geraldine; DIAZ-BELTRAN, Juan Camilo  and  ZAFRA-FLOREZ, Andrés Felipe. Extubation failure in the patient with spinal cord trauma: diaphragmatic paralysis. An entity to consider. Rev. virtual Soc. Parag. Med. Int. [online]. 2024, vol.11, n.1, e11142403.  Epub Apr 01, 2024. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2024.e11142403.

Diaphragmatic paralysis is an entity with an unproven epidemiology. However, it should be considered in patients with a history of associated spinal cord trauma who present early signs of respiratory difficulty, to investigate and offer timely management to this clinical condition. We present the case of a 65-year-old man with chronic diaphragmatic weakness due to a history of gunshot wounds at the level of the cervical spine.

Keywords : diaphragmatic paralysis; respiratory paralysis; intratracheal intubation; fractures of the spine; spinal cord trauma.

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