Publication: Bilateral phrenic nerve block to reduce hazardous respiratory drive in a mechanically ventilated patient with COVID-19—A case report
Bilateral phrenic nerve block to reduce hazardous respiratory drive in a mechanically ventilated patient with COVID-19—A case report
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Levis, A., Gardill, M., Bachmann, K. F., Berger, D., Schandl, C., Piquilloud, L., & Haenggi, M. (2024). Bilateral phrenic nerve block to reduce hazardous respiratory drive in a mechanically ventilated patient with COVID-19—A case report. Clinical Case Reports, 12(5), e8850. https://doi.org/10.1002/ccr3.8850
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Key Clinical Message Forced inspiration during mechanical ventilation risks self‐inflicted lung injury. However, controlling it with sedation or paralysis may cause polyneuropathy and myopathy. We tested bilateral phrenic nerve paralysis with local anesthetic in a patient, showing reduced inspiratory force. This offers an alternative to drug‐induced muscle paralysis.Mechanical ventilation, although a life‐saving measure, can also pose a risk of causing lung injury known as “ventilator‐induced lung injury” or VILI. Patients undergoing
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Levis, A., Gardill, M., Bachmann, K. F., Berger, D., Schandl, C., Piquilloud, L., & Haenggi, M. (2024). Bilateral phrenic nerve block to reduce hazardous respiratory drive in a mechanically ventilated patient with COVID-19—A case report. Clinical Case Reports, 12(5), e8850. https://doi.org/10.1002/ccr3.8850
