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Extubation failure due to phrenic nerve injury
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  • Published on:
    Extubation failure due to phrenic nerve injury

    Dear Editor

    We read with interest the paper of Williams et al[1] which linked phrenic nerve damage with an intercostal chest drain in a neonate with pneumothoraces. The chest drain impinged upon the mediastinum. We reported a very similar case with bilateral damage.[2] This infant was more mature weighing 1802 grams at 32 weeks and had 2 chest drains each side. The position of the drains on the chest XRay wa...

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    Conflict of Interest:
    None declared.
  • Published on:
    Response to Dr Bissenden
    • A Greenough, Dr
    • Other Contributors:
      • O Williams, N Mustafa, S Naugen, and GR Rafferty

    Dear Editor

    We thank Dr Bissenden for his comments regarding our paper.[1] We would suggest that injury to the phrenic nerve is an unusual complication of chest tube placement in neonates because chest tubes are usually inserted to drain a pneumothorax (rather than a pleural effusion as in the case we describe [1]) and hence sited so that the tip lies anteriorally where it most effectively drains air. Phrenic ner...

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    Conflict of Interest:
    None declared.