600 research outputs found
Correspondence: predictors of prognosis in neonates with congenital diaphragmatic hernia
Dear Editor,
We read with great interest the article by Granjo Morais et al. published in the latest issue of your journal and found it very useful. First, we would like to commend the authors for their endeavor. We have the following comments regarding the methodological issues and unit practices in the management of congenital diaphragmatic hernia (CDH) which require further clarification by the authors for the benefit of the readers of JPNIM.
This corrispondence refers to the following article:
Granjo Morais C, Rocha G, Flor-de-Lima F, Éden P, Fragoso AC, Guimarães H. Predictors of prognosis in neonates with congenital diaphragmatic hernia: experience of 12 years. J Pediatr Neonat Individual Med. 2017;6(1):e060126. doi: 10.7363/060126.
Authors’ reply can be found in the following article:
Granjo Morais C, Rocha G, Flor-de-Lima F, Éden P, Fragoso AC, Guimarães H. Correspondence: predictors of prognosis in neonates with congenital diaphragmatic hernia – Authors’ reply. J Pediatr Neonat Individual Med. 2017;6(1):e060140. doi: 10.7363/060140
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A rare cause of recurrent extubation failure in an infant
Despite multiple chest radiographs showing elevated hemidiaphragm, untrained eyes failed to notice it. “The eyes do not see what the mind does not know” is a saying well demonstrated by our patient who had multiple extubation failures secondary to recurrent lung collapse, that too on the same side. On reviewing all radiographs simultaneously, we suspected left side diaphragmatic palsy, which was later confirmed on ultrasonography. In spite of clear demonstration of elevated hemidiaphragm on multiple serial X-rays, diagnosis of diaphragmatic palsy was missed leading to delay in diagnosis, unnecessary antibiotics, and prolonged ventilation. There was a spontaneous recovery of the function of the affected side of the diaphragm, and he could be successfully extubated and subsequently discharged
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