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Ann Thorac Surg 1981;31:61-65
© 1981 The Society of Thoracic Surgeons

Articles

Diaphragm Pacing in Infants and Children: Report of a Simplified Technique and Review of Experience

Michel N. Ilbawi, M.D.*, Carl E. Hunt, M.D., Serafin Y. DeLeon, M.D., Farouk S. Idriss, M.D.

From the Division of Cardiovascular-Thoracic Surgery and the Division of Neonatology, The Children's Memorial Hospital, and the Department of Surgery, Northwestern University Medical School, Chicago, IL

Accepted for publication March 12, 1980.

* Address reprint requests to Dr. Ilbawi, Division of Cardiovascular-Thoracic Surgery, The Children's Memorial Hospital, 2300 Children's Plaza, Chicago, IL 60614

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.




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Diaphragm pacing
Ann. Thorac. Surg., February 1, 2002; 73(2): 691 - 692.
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 Ann. Thorac. Surg.Home page
M. N. Ilbawi, F. S. Idriss, C. E. Hunt, R. T. Brouillette, and S. Y. DeLeon
Diaphragmatic Pacing in Infants: Techniques and Results
Ann. Thorac. Surg., October 1, 1985; 40(4): 323 - 329.
[Abstract] [PDF]


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