Phrenic Nerve Injury Is a Differential Diagnosis of Hypoxemia after Video-Assisted Thoracoscopic Thymectomy: 2 Cases Report and Literature Review | Zendy

Lulu Ma | Zendy; Yuguang Huang | Zendy

Open Access

<strong>Phrenic Nerve Injury Is a Differential Diagnosis of Hypoxemia after Video-Assisted Thoracoscopic Thymectomy: 2 Cases Report and Literature Review</strong>

Author(s) -

Lulu Ma,

Yuguang Huang

Publication year - 2020

Publication title -

chinese medical sciences journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.215

H-Index - 21

ISSN - 1001-9294

DOI - 10.24920/003648

Subject(s) - medicine , hypoxemia , phrenic nerve , thymectomy , anesthesia , thoracoscopy , surgery , respiratory system , myasthenia gravis

Hypoxemia after general anesthesia is not uncommon. For patients after thoracotomy, the differential diagnosis is usually difficult. Surgical, anesthetic, and patient-associated factors may contribute to postoperative hypoxemia. We described two patients who underwent video-assisted thoracoscopic thymectomy and developed hypoxemia immediately after extubation. Phrenic nerve injury was suspected in both patients. One case recovered spontaneously without intervention. The second case who had been demonstrated as bilateral phrenic nerve injury after the operation was continuously on ventilator after physical therapy and respiratory training for 2 months.

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