The paralyzed diaphragm - Hilary Klonin

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Indications for Diaphragm Pacing Diaphragm Paralysis • For those patients who have one or both <strong>diaphragm</strong>s <strong>paralyzed</strong> and have residual nerve function, a breathing pacemaker can be considered.
Indications for Diaphragm Pacing Quadriplegia • Patients with very high cervical spine injuries involving C3 or higher • Patients who have lost neurological control of respiration due to brain stem injuries, strokes, or tumors • Patients with injuries involving C4 need to pay particular attention to nerve conduction as the majority of the phrenic nerve originates at that level. • Patients with injuries below C4 rarely require ventilatory support • Patients with damaged phrenic nerves may be able to paced in conjunction with peripheral nerve grafts.
Page 1 and 2: The paralyzed diaphragm Phrenic ner
Page 4 and 5: Indications for Diaphragm Pacing Di
Page 6 and 7: •Andrew Ure,1818
Page 8 and 9: Neuromuscular physiology Respirato
Page 10 and 11: Phrenic Nerve Pacing: Current Conce
Page 12: Sniff test
Page 17 and 18: Patient selection Patients with mo
Page 19 and 20: Avery Phrenic Nerve Pacer
Page 21 and 22: Breathing pacemakers are not indica
Page 23 and 24: Thoracoscopic
Page 25 and 26: Diaphragmatic training Pacing begin
Page 27 and 28: Advantages over PPV Physiological A
Page 29 and 30: Advantages over PPV Psychological A
Page 31 and 32: Long term changes to diaphragm or p
Page 33 and 34: Possible complications Electrode f
Page 35 and 36: Patient feed back A recent questio
Page 37: PEDIATRIC AND NEONATAL, NIV MEETING

The paralyzed diaphragm - Hilary Klonin

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