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Hemidiaphragmatic paresis was divided into three grades, depending on the percentage of diaphragm movement compared to the baseline none ( 75%), partial paresis (25-75%), and complete paresis ( less then 25%). RESULTS No patient showed any partial or complete ipsilateral hemidiaphragmatic paresis within 60 min after the intermediate CPB. CONCLUSION Intermediate CPB using 0.2 ml/kg of 0.25% ropivacaine at the C4-5 intervertebral level did not cause ipsilateral hemidiaphragmatic paresis. This may imply that the effect of the intermed
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