Perioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case
Clinical case.
DOI:
https://doi.org/10.23938/ASSN.0951Keywords:
Pacemaker, Phrenic nerve, Spinal cord injuries, Perioperative period, Implanted electrodesAbstract
Patients with chronic spinal cord injury suffer from a number of pathophysiological alterations that can lead to important morbidity and mortality in the perioperative period. The diaphragmatic pacemaker is a device that enables pulmonary ventilation in patients with high cervical cord injuries and provides them with a better quality of life when compared to mechanical ventilation.
We present here the clinical case of a patient with chronic spinal cord injury who used a diaphragmatic pacemaker, and who was scheduled for percutaneous nephrolithotomy and double-J stent implantation. The anesthesiologist should know the pathophysiological situation of these patients in order to provide a safe perioperatory care.
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