title: Diaphragmatic pacing. An option for patients with quadriplegic respiratory paralysis.
abstract: Recent advances in design, increased reliability, and computerized pacing provide an exciting alternative to mechanical ventilation for the quadriplegic patient. Research into the development of totally implantable, demand-type respiratory pacemakers is ongoing. Careful patient selection, meticulous surgical technique, adequate training in the use of the device, and conscientious follow-up contribute to a successful outcome--increased mobility and independence for the ventilator-dependent quadriplegic patient.
authors.affiliation: Audie L. Murphy Memorial Veterans Hospital, San Antonio, Texas.
authors.forename: D R
authors.initials: DR
authors.lastname: McEwen
mesh_terms: D003964:Diaphragm; D004599:Electric Stimulation Therapy / Q000295:instrumentation / Q000451:nursing; D004567:Electrodes, Implanted; D006801:Humans; D009871:Operating Room Nursing; D010791:Phrenic Nerve; D011183:Postoperative Complications; D011782:Quadriplegia / Q000150:complications / Q000451:nursing; D012121:Respiration, Artificial; D012133:Respiratory Paralysis / Q000150:complications / Q000451:nursing / Q000628:therapy*