作者
Anthony F DiMarco, Yoshiro Takaoka, Krzysztof E Kowalski
发表日期
2005/6/1
期刊
Archives of physical medicine and rehabilitation
卷号
86
期号
6
页码范围
1200-1207
出版商
WB Saunders
简介
DiMarco AF, Takaoka Y, Kowalski KE. Combined intercostal and diaphragm pacing to provide artificial ventilation in patients with tetraplegia. Arch Phys Med Rehabil 2005;86:1200–7.
OBJECTIVE
To evaluate the usefulness of combined intercostal and diaphragm pacing to maintain independence from mechanical ventilation.
DESIGN
A prospective trial.
SETTING
Clinical research center at a large tertiary hospital.
PARTICIPANTS
Four ventilator-dependent subjects with spinal cord injury with only unilateral phrenic nerve function.
INTERVENTION
During an initial surgical procedure, a multipolar epidural disk electrode was positioned on the ventral surface of the upper-thoracic spinal cord via a hemilaminectomy to activate the inspiratory intercostal muscles. A phrenic nerve electrode was implanted unilaterally via the thoracic approach.
MAIN OUTCOME MEASURES
Inspired volume production and duration that …
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AF DiMarco, Y Takaoka, KE Kowalski - Archives of physical medicine and rehabilitation, 2005