Management of chronic ventilatory insufficiency with electrical diaphragm pacing
| Autor: | S. W. Epstein, Vanderlinden Ld, R. G. Vanderlinden, Smythe Hs, R. H. Hyland |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
Adult
Male Pacemaker Artificial Adolescent Diaphragm Medicine Humans Life saving Major complication Tetraplegia Aged Aged 80 and over business.industry Apnea Sleep apnea General Medicine Middle Aged medicine.disease Electric Stimulation Trachea Pneumonia Diaphragm pacing Neurology Anesthesia Etiology Female Neurology (clinical) medicine.symptom business Respiratory Insufficiency |
| Zdroj: | The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques. 15(1) |
| ISSN: | 0317-1671 |
| Popis: | We have had experience with diaphragm pacing in 24 patients at the Toronto Western Hospital. Fourteen patients have undergone bilateral implants to treat chronic ventilatory insufficiency (CVI) caused by traumatic tetraplegia at the C1/2 level (eight patients), neurogenic apnea (five) and one case of neonatal apnea. Unilateral stimulators for nocturnal pacing have been implanted in five patients with central alveolar hypoventilation (sleep apnea) and five patients who suffered CVI resulting from various etiologies. Of the patients who were ventilatory dependent, 80% were successfully weaned and in the entire series, 58% of the patients are living. Diaphragm pacing was successful in 67%, partially successful in 8% and ineffective in 25%. The major complications were: death by pneumonia, failure of the radio receivers, and infection. Diaphragm pacing is the treatment of choice for patients who are ventilator dependent and tetraplegic from upper cervical trauma or in some cases of neurogenic apnea; it may be life saving for patients who suffer central alveolar hypoventilation. |
| Databáze: | OpenAIRE |
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