Diaphragm pacing in infants and children: report of a simplified technique and review of experience.
Diaphragm pacing was used for treating 6 infants with congenital hypoventilation syndrome at the Children's Memorial Hospital, Chicago. All patients had inadequate sleep-related ventilation and absent ventilatory response to hypercarbia. A single incision was utilized to implant both the electrode and receiver. The phrenic nerve was isolated with a piece of pericardium to minimize injury. All infants required bilateral nerve pacing to obtain satisfactory ventilation (normal transcutaneous measurements of partial pressure of oxygen and end-tidal pressure of carbon dioxide). The technical details described here are helpful in achieving successful phrenic nerve pacing in infants with results comparable to those reported in adults.
D002245:Carbon Dioxide; D003964:Diaphragm / Q000294:innervation*; D004599:Electric Stimulation Therapy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D010791:Phrenic Nerve; D012891:Sleep Apnea Syndromes / Q000175:diagnosis / Q000628:therapy*
D002245:Carbon Dioxide