Phrenic Nerve Pacing Via Intramuscular Diaphragm Electrodes in Tetraplegic Subjects

• Published in: Chest Vol. 127; no. 2; pp. 671 - 678
• Main Authors: DiMarco, Anthony F., Onders, Raymond P., Ignagni, Anthony, Kowalski, Krzysztof E., Mortimer, J. Thomas
• Format: Journal Article
• Language: English
• Published: Northbrook, IL Elsevier Inc 01.02.2005; American College of Chest Physicians
• Subjects: Abdomen; Adult; Biological and medical sciences; Cardiology. Vascular system; diaphragm pacing; Electric Stimulation Therapy - instrumentation; Electrodes; Electrodes, Implanted; Follow-Up Studies; Humans; Laparoscopy; Long-Term Care; Male; Medical sciences; Ostomy; Phrenic Nerve - physiopathology; Pneumology; Quadriplegia - complications; Quadriplegia - physiopathology; Quadriplegia - therapy; Respiratory Paralysis - etiology; Respiratory Paralysis - physiopathology; Respiratory Paralysis - therapy; Spinal cord injuries; Spinal Cord Injuries - complications; spinal cord injury; Thoracotomy; Tidal Volume; Ventilator Weaning; Ventilators; laparoscopy; spinal cord injury; PNP; diaphragm pacing; Human; Spinal cord; Respiratory disease; Injury; Instrumentation therapy; Cardiovascular disease; Laparoscopy; Electrodes; Instrumental stimulation; Phrenic nerve; Diaphragm; Endoscopy; Lesion

Diaphragm pacing in ventilator-dependent tetraplegic subjects is usually achieved by the placement of phrenic nerve electrodes via thoracotomy. However, this technique may be accomplished less invasively via laparoscopic placement of IM electrodes, at a lower cost and with less risk of injury to the...