Perioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case | Zendy

Enrique Sepúlveda Haro | Zendy; Julia Diaz Crespo | Zendy; S Romero Molina | Zendy; Juan Jose Escalona Belmonte | Zendy; José Luis Guerrero Orriach | Zendy; José Cruz Mañas | Zendy

Open Access

Perioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case

Author(s) -

Enrique Sepúlveda Haro,

Julia Diaz Crespo,

S Romero Molina,

Juan Jose Escalona Belmonte,

José Luis Guerrero Orriach,

José 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.

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