Diaphragm pacing for the ventilatory support of the quadriplegic patients with respiratory paralysis

H. Cheng, L. S. Wang, H. C. Pan, H. M. Shoung, L. S. Lee

研究成果: 雜誌貢獻文章同行評審

1 引文 斯高帕斯(Scopus)

摘要

Electrical stimulation of the phrenic nerve to pace the diaphragm in patients with chronic ventilatory insufficiency has been an established therapeutic modality since William W.L.Glenn first described using radiofrequency signals in 1978 to stimulate the phrenic nerves. Before this event, patients who were ventilator-dependent and thus bedridden because of respiratory paralysis associated with quadriplegia usually anticipated little chance for physical or psychosocial rehabilitation. Two cases of C1-C2 subluxtion with cord injury and chronic ventilatory insufficiency were implanted at VGH-Taipei with diaphragm pacemaker in 1988. Postoperative phrenic nerve stimulation was given according to individual training schedule. One case with total phrenic paralysis received bilateral phrenic nerve stimulation and became weaned from the ventilator 6 months later. The other case with partially active ventilatory function received unilateral phrenic nerve stimulation to compensate the ventilation. However, its final outcome still showed the necessity of a bilateral mode to achieve adequate ventilation irrespective of strenuous training for 2 years.

原文英語
頁(從 - 到)116-122
頁數7
期刊Chinese Medical Journal (Taipei)
49
發行號2
出版狀態已發佈 - 二月 1992
對外發佈Yes

ASJC Scopus subject areas

  • Medicine(all)

指紋 深入研究「Diaphragm pacing for the ventilatory support of the quadriplegic patients with respiratory paralysis」主題。共同形成了獨特的指紋。

引用此