[Perioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case].

Autor: Sepúlveda Haro E; Anestesiología y Reanimación. Hospital Universitario Virgen de la Victoria. Málaga. esepulharo@hotmail.com., Díaz Crespo J, Romero Molina S, Escalona Belmonte JJ, Guerrero Orriach JL, Cruz Mañas J
Jazyk: Spanish; Castilian
Zdroj: Anales del sistema sanitario de Navarra [An Sist Sanit Navar] 2021 Dec 27; Vol. 44 (3), pp. 457-462. Date of Electronic Publication: 2021 Dec 27.
DOI: 10.23938/ASSN.0951
Abstrakt: Patients with chronic spinal cord injury suffer from a number of pathophysiological alterations that can lead to important morbidity and mortality in the perioperative period. The diaphragmatic pacemaker is a device that enables pulmonary ventilation in patients with high cervical cord injuries and provides them with a better quality of life when compared to mechanical ventilation. We present here the clinical case of a patient with chronic spinal cord injury who used a diaphragmatic pacemaker, and who was scheduled for percutaneous nephrolithotomy and double-J stent implantation. The anesthesiologist should know the pathophysiological situation of these patients in order to provide a safe perioperatory care.
Databáze: MEDLINE