Laparoscopic placement of electrodes for diaphragm pacing using stimulation to locate the phrenic nerve motor points

1998 ◽  
Vol 6 (4) ◽  
pp. 382-390 ◽  
Author(s):  
B.D. Schmit ◽  
T.A. Stellato ◽  
M.E. Miller ◽  
J.T. Mortimer
Keyword(s):  
Phrenic Nerve ◽  
Diaphragm Pacing

Thoracoscopic Placement of Phrenic Nerve Electrodes for Diaphragm Pacing

1998 ◽  
Vol 2 (3) ◽  
pp. 101-105 ◽  
Author(s):  
DONALD B. SHAUL ◽  
J. GORDON McCOMB ◽  
THOMAS G. KEENS
Keyword(s):  
Phrenic Nerve ◽  
Diaphragm Pacing ◽  
Nerve Electrodes

Response of the diaphragm muscle to electrical stimulation of the phrenic nerve

1983 ◽  
Vol 58 (1) ◽  
pp. 92-100 ◽  
Author(s):  
Thomas E. Ciesielski ◽  
Yoshitaka Fukuda ◽  
William W. L. Glenn ◽  
Jack Gorfien ◽  
Kathryn Jeffery ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Phrenic Nerve ◽  
High Frequency ◽  
Low Frequency ◽  
Diaphragm Muscle ◽  
Diaphragm Pacing ◽  
Frequency Group ◽  
Low Frequency Stimulation ◽  
Frequency Stimulation

✓ The histological, histochemical, and ultrastructural features of canine diaphragms subjected to pacing by high-frequency electrical stimulation (27 to 33 Hz) of the phrenic nerve are compared with unstimulated diaphragms and with diaphragms subjected to pacing by low-frequency stimulation (11 to 13 Hz). The high-frequency group showed a reduced tidal volume (fatigue) after long-term stimulation, and myopathic changes which included enlarged internal and sarcolemmal nuclei, ring fibers, moth-eaten fibers with irregular histochemical staining, core/targetoid fibers, and smearing and aggregation of Z-band material with electron microscopy. The low-frequency group did not develop a significant degree of fatigue or pathological changes, and showed histochemical evidence of transformation to fast-twitch (type II) fibers. Possible pathogenic mechanisms and their similarity to those in certain human neuromuscular diseases are discussed. The application of the findings resulting from high- and low-frequency stimulation to long-term diaphragm pacing in humans with chronic ventilatory insufficiency is also discussed.

Phrenic nerve stimulation for diaphragm pacing with a spinal cord stimulator

2003 ◽  
Vol 59 (2) ◽  
pp. 128-132 ◽  
Author(s):  
Takaomi Taira ◽  
Naoto Takeda ◽  
Kaname Itoh ◽  
Akihiro Oikawa ◽  
Tomokatsu Hori
Keyword(s):  
Spinal Cord ◽  
Nerve Stimulation ◽  
Phrenic Nerve ◽  
Spinal Cord Stimulator ◽  
Phrenic Nerve Stimulation ◽  
Diaphragm Pacing

Transcutaneous, dual channel phrenic nerve stimulator for diaphragm pacing

1983 ◽  
Vol 21 (1) ◽  
pp. 21-30 ◽  
Author(s):  
P. Talonen ◽  
J. Malmivuo ◽  
G. Baer ◽  
H. Markkula ◽  
V. Häkkinen
Keyword(s):  
Phrenic Nerve ◽  
Nerve Stimulator ◽  
Diaphragm Pacing ◽  
Dual Channel

Mapping the phrenic nerve motor point: The key to a successful laparoscopic diaphragm pacing system in the first human series

Surgery ◽  
2004 ◽  
Vol 136 (4) ◽  
pp. 819-826 ◽  
Author(s):  
Raymond P. Onders ◽  
Anthony F. DiMarco ◽  
Anthony R. Ignagni ◽  
Harish Aiyar ◽  
J. Thomas Mortimer
Keyword(s):  
Phrenic Nerve ◽  
Motor Point ◽  
Diaphragm Pacing

Phrenic Nerve Stimulation (Diaphragm Pacing) in Respiratory Paralysis

1985 ◽  
Vol 48 (1-6) ◽  
pp. 351-357
Author(s):  
H. Fodstad ◽  
G. Andersson ◽  
S. Blom ◽  
H. Linderholm
Keyword(s):  
Nerve Stimulation ◽  
Phrenic Nerve ◽  
Phrenic Nerve Stimulation ◽  
Diaphragm Pacing

Diaphragm Pacing as an Adjunct in Respiratory Insufficiency

Neurosurgery ◽  
1978 ◽  
Vol 2 (1) ◽  
pp. 43-46 ◽  
Author(s):  
Ronald F. Young
Keyword(s):  
Electrical Stimulation ◽  
Case Report ◽  
Respiratory Insufficiency ◽  
Phrenic Nerve ◽  
Social Problems ◽  
Potential Usefulness ◽  
Mechanical Ventilator ◽  
Diaphragm Pacing ◽  
Neurosurgical Patients ◽  
Stimulation Of

Abstract Most neurosurgical patients with permanent partial or complete respiratory insufficiency are managed with a mechanical ventilator and tracheostomy. This method presents many medical, technical, emotional, and social problems. A case report is presented that illustrates the potential usefulness of electrical stimulation of the phrenic nerve (“diaphragm pacing”) as an alternate method of therapy for respiratory insufficiency. This paper outlines the indications for, methods of, and problems with such a system and is intended to make its availability more widely appreciated among neurosurgeons.

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