Document Detail

Electrophrenic pacing and decannulation for high-level spinal cord injury: a case series.
MedLine Citation:
PMID:  22333657     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In 1997, guidelines were developed for the management of high-level ventilator-dependent patients with spinal cord injury who had little or no ventilator-free breathing ability (VFBA). This article describes the three categories of patients, the decannulation criteria, and the successful decannulation of four patients with no VFBA and electrophrenic/diaphragm pacing, using these criteria.
METHOD: Case series.
CONCLUSION: Lack of VFBA in patients with high-level spinal cord injury does not mandate tracheostomy or electrophrenic/diaphragm pacing.
Priya Bolikal; John R Bach; Miguel Goncalves
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-02-07
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  35     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-17     Completed Date:  2012-09-17     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  170-4     Citation Subset:  IM    
Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, University Hospital, Newark, NJ 07103, USA.
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MeSH Terms
Device Removal
Diaphragm / surgery
Electric Stimulation Therapy / methods*
Middle Aged
Phrenic Nerve / surgery
Respiration, Artificial / methods*
Respiratory Paralysis / etiology,  surgery,  therapy*
Spinal Cord Injuries / complications,  surgery,  therapy*
Ventilators, Mechanical*

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