Phrenic nerve stimulation for diaphragmatic pacing in chronic ventilator-dependent patients
Clinical and fluoroscopic recording [Figure 2] and [Video 1], [Video 2] was made of robust diaphragmatic contractions with cyclic monopolar stimulation of up to 2 mAmp, 50 Hz, 100 μs pulse width parameters with the NIM-Eclipse Nerve Stimulator System (Medtronic, MN, USA). The end-tidal carbon dioxid...
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| Veröffentlicht in: | Neurology India 2018-11, Vol.66 (6), p.1834-1837 |
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| creator | Bose, Ratnadip Banerjee, Anirban Brajesh, Vimalendu Narang, Karanjit Dubey, Sudhir Singh, Varindera |
| description | Clinical and fluoroscopic recording [Figure 2] and [Video 1], [Video 2] was made of robust diaphragmatic contractions with cyclic monopolar stimulation of up to 2 mAmp, 50 Hz, 100 μs pulse width parameters with the NIM-Eclipse Nerve Stimulator System (Medtronic, MN, USA). The end-tidal carbon dioxide pressure was adjusted to about 400 mm Hg by changing the output strength of the implantable pulse generator (IPG) with continuous monitoring of the same and oxygen saturation levels. [6]{Table 1} For chronic ventilator-dependent patients with central hypoventilation, diaphragmatic pacing by phrenic nerve stimulation is a viable last resort to wean them off ventilator, thereby facilitating ambulation, physiotherapy, and psychosocial improvement. |
| doi_str_mv | 10.4103/0028-3886.246256 |
| format | Article |
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| subjects | Instrumentation industry Patients Physiology Private placement Silicon Spinal cord Ventilators |
| title | Phrenic nerve stimulation for diaphragmatic pacing in chronic ventilator-dependent patients |
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