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Virtual Pediatric Hospital: Paediapaedia: Neuromuscular Paralysis Paediapaedia: Neonatal Chest Diseases

Neuromuscular Paralysis

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
Neonates in the intensive care unit who need to have non synchronous respiratory efforts eliminated.

Etiology/Pathophysiology:
Neuromuscular blocking agents such as curare or Pavulon are used to facilitate oxygenation by eliminating non synchronous respiratory efforts.

Pathology:
Not applicable.

Imaging Findings:
Characteristic triad of (1) Bell shaped thorax due to absent postural (intercostal) muscle activity which elevates the ribs and expands the thorax, (2) Soft tissue edema due to absent skeletal muscle activity and secondary lymphovascular stasis and (3) Decreased or absent bowel gas due to diminished swallowing with continued clearance of gas in the gastrointestinal tract by peristalsis. icon gif

DDX:
Not applicable

References:
See References Chapter.

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