Diaphragmatic pacing stimulation in spinal cord injury: anesthetic and perioperative management.

ABSTRACT:

Objective

The standard therapy for patients with high-level spinal cord injury is long-term mechanical ventilation through a tracheostomy. However, in some cases, this approach results in death or disability. The aim of this study is to highlight the anesthetics and perioperative aspects of patients undergoing insertion of a diaphragmatic pacemaker.

Methods

Five patients with quadriplegia following high cervical traumatic spinal cord injury and ventilator-dependent chronic respiratory failure were implanted with a laparoscopic diaphragmatic pacemaker after preoperative assessments of their phrenic nerve function and diaphragm contractility through transcutaneous nerve stimulation. ClinicalTrials.gov: NCT01385384.

Results

The diaphragmatic pacemaker placement was succe

SUBMITTER: Tedde ML 

PROVIDER: S-EPMC3488983 | biostudies-literature | 2012 Nov

REPOSITORIES: biostudies-literature