Objectives: This study aimed to evaluate the safety and applicability of treating chronic respiratory insufficiency with diaphragm pacing relative to mechanical ventilation.
Materials And Methods: A literature review and analysis were conducted using the safety, appropriateness, financial neutrality, and efficacy principles.
Results: Although mechanical ventilation is clearly indicated in acute respiratory failure, diaphragm pacing improves life expectancy, increases quality of life, and reduces complications in patients with chronic respiratory insufficiency.
Conclusion: Diaphragm pacing should be given more consideration in appropriately selected patients with chronic respiratory insufficiency.
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http://dx.doi.org/10.1016/j.neurom.2022.10.059 | DOI Listing |
JTCVS Open
December 2024
Division of Cardiac Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Objective: Prolonged mechanical ventilation after cardiac surgery significantly increases morbidity and mortality. The aim of this study is to establish the role of diaphragmatic pacing to decrease mechanical ventilation burden in high-risk patients undergoing cardiac surgery.
Methods: This is a prospective, randomized trial of temporary diaphragmatic pacing electrode use in patients undergoing cardiac surgery (NCT04899856).
Am J Respir Crit Care Med
December 2024
Radboud University Medical Center, Intensive care medicine, Nijmegen, Netherlands.
Pediatr Pulmonol
December 2024
Department of Pediatrics, New York Medical College, Valhalla, New York, USA.
Expert Rev Respir Med
December 2024
INSERM, UMRS1158 Neurophysiologie respiratoire expérimentale et Clinique, Sorbonne Université, Paris, France.
Background: The effectiveness of diaphragmatic electrical stimulation (DES) compared to mechanical ventilation (MV) in improving clinical outcomes such as quality-of-life (QOL) and hospital stay remains inconsistent.
Methods: We conducted a systematic review and meta-analysis by searching PubMed, Scopus, Google Scholar, LILACS, and IEEE Xplore. We included comparative studies (randomized controlled trials and observational studies) of DES administered via the phrenic nerve or intramuscular electrodes, compared with MV in adults with diaphragmatic paralysis or paresis.
Plast Reconstr Surg
November 2024
Division of Plastic & Reconstructive Surgery, Department of Surgery, UCLA Medical Center, Los Angeles, CA.
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