Laparoscopic diaphragmatic pacer placement--a potential new treatment for ALS patients: a brief description of the device and anesthetic issues.
The Diaphragm Pacing Stimulator (DPS) has been used to treat ventilatory insufficiency in quadriplegic patients. The FDA approved a trial using the DPS in patients with amyotrophic lateral sclerosis (ALS). Three patients with advanced ALS, who underwent laparoscopic diaphragmatic pacer placement, and their general anesthetic management, are presented.
Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94305-5640, USA.
Clifford A
CA
Schmiesing
Jennifer
J
Lee
John M
JM
Morton
John G
JG
Brock-Utne
D000328:Adult; D000690:Amyotrophic Lateral Sclerosis / Q000503:physiopathology / Q000628:therapy*; D000768:Anesthesia, General / Q000379:methods; D003964:Diaphragm / Q000503:physiopathology; D004599:Electric Stimulation Therapy / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D012133:Respiratory Paralysis / Q000209:etiology / Q000628:therapy*