Open AccessPerioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case
Author(s) -
Enrique Sepúlveda Haro,
J Díaz Crespo,
Sandra Molina,
J J Escalona Belmonte,
José Luis Guerrero Orriach,
J Cruz Mañas
Publication year - 2021
Publication title -
anales del sistema sanitario de navarra
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.175
H-Index - 23
eISSN - 2340-3527
pISSN - 1137-6627
DOI - 10.23938/assn.0951
Subject(s) - medicine , diaphragmatic breathing , spinal cord injury , perioperative , mechanical ventilation , spinal cord , ventilation (architecture) , anesthesia , surgery , percutaneous , pathophysiology , mechanical engineering , alternative medicine , pathology , psychiatry , engineering
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.