Abstract
Diaphragmatic palsy after lung transplantation has been reported infrequently. Given the role of the diaphragm in respiration, the palsy may play a significant role in the post-surgical recovery as well as morbidity and mortality. This review summarises the current literature to better understand diaphragmatic palsy in the post lung-transplant setting among adults. A thorough literature search was conducted through multiple databases and 91 publications were identified that fit the research question. The review aimed to report the burden of this problem, explore different modalities of diagnosis reported, the effect of various clinical factors and treatment modalities, as well as their effects on outcomes. Additionally, it aimed to highlight the variability, limitations of reported data, and the absence of a standardised approach. This review emphasises the crucial need for more dedicated research to better address this clinical challenge.
Publisher
European Respiratory Society (ERS)
Reference91 articles.
1. Respiratory complications after solid-organ transplantation;Zeyneloğlu;Exp Clin Transplant,2015
2. Incidence of early diaphragmatic dysfunction after lung transplantation: results of a prospective observational study;Crothers;Clin Transplant,2021
3. Diaphragmatic dysfunction after heart or lung transplantation;Dorffner;J Heart Lung Transplant,1997
4. Increased diaphragmatic strength and tolerance to fatigue after bilateral lung transplantation: an electromyographic study
5. Lung transplantation. Analyses of 129 cases;Sacanell;Intensive Care Med,2010