Monoparesis. Complication of constant positive airways pressure

Area of Science:

• Neonatal care
• Pediatric neurology

Background:

• Idiopathic respiratory distress syndrome (IRDS) is a common neonatal respiratory condition.
• Constant positive airway pressure (CPAP) is a standard treatment for IRDS.
• Erb's palsy is a form of brachial plexus injury in newborns.

Purpose of the Study:

• To investigate a potential association between CPAP treatment and Erb's palsy.
• To report on the neurological outcomes of infants with Erb's palsy following CPAP therapy.

Main Methods:

• Case report of two infants diagnosed with Erb's palsy.
• Review of treatment protocols for IRDS using CPAP.
• Neurological assessment of affected infants.

Main Results:

• Two infants treated with CPAP for IRDS developed Erb's palsy.
• The observed Erb's palsy was considered an acquired injury potentially related to the CPAP neck seal.
• Both infants achieved complete neurological recovery.

Conclusions:

• CPAP treatment for IRDS may be associated with an increased risk of acquired Erb's palsy.
• Careful monitoring and adjustment of the neck seal during CPAP therapy are crucial.
• Prompt diagnosis and management can lead to favorable neurological outcomes in affected infants.