EC Paediatrics

Phrenic nerve palsy, a rare cause of respiratory distress in neonates, leads to diaphragmatic paralysis and significant respiratory compromise. While surgical interventions, such as diaphragmatic plication, are often considered, they carry inherent risks. This report highlights the use of home continuous positive airway pressure (CPAP) as a conservative treatment option. A late preterm infant diagnosed with right diaphragmatic palsy after birth was managed with home CPAP, avoiding surgery. The infant successfully transitioned to spontaneous breathing by 75 days of life, highlighting the effectiveness of non-surgical management. This case underscores the potential role of home CPAP as a viable alternative to surgical intervention in selected cases.

 Keywords: Diaphragmatic Paralysis; CPAP; Phrenic Nerve Palsy; Respiratory Distress

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