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The Annals of Thoracic Surgery, Vol 30, 118-121, Copyright © 1980 by The Society of Thoracic Surgeons
DD Oakes, CB Wilmot, D Halverson and RD Hamilton
During the past 5 years, 20 phrenic nerve stimulators have been implanted
in 11 patients who were ventilator dependent because of neurogenic
respiratory failure. Ten patients had traumatic spinal cord lesions; the
remaining patient suffered from a progressive demyelinating disease. There
was no operative mortality. Complications included 1 stimulator malfunction
and 1 pneumothorax. In spite of adjacent tracheostomies, there were no
infections or wound complications. Of the 20 stimulators implanted, 13
initially produced good diaphragmatic function, 2 had fair function, and 5
had little or not function. Three patients became completely independent of
their ventilators; 6 became partially independent, thus simplifying nursing
care. There were no late complications. As of December, 1979, 7 patients
had benefited or were continuing to benefit from phrenic nerve stimulation.
ARTICLES
Neurogenic respiratory failure: a 5-year experience using implantable phrenic nerve stimulators
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