RT Book, Section
A1 Dimarco, Anthony F.
A2 Tobin, Martin J.
SR Print(0)
ID 57080733
T1 Chapter 62. Diaphragmatic Pacing
T2 Principles and Practice of Mechanical Ventilation, 3e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-173626-8
LK accessanesthesiology.mhmedical.com/content.aspx?aid=57080733
RD 2024/04/17
AB Chronic  respiratory  failure  requiring  ventilatory  support  is  usually  caused  by  severe  derangements  in  the  function  of  the  lungs,  chest  wall,  and/or  respiratory  muscles.  Mechanical  ventilation  is  the  only  feasible  option  for  most  patients  with  these  disorders.  In  certain  patients,  however,  the  function  of  the  respiratory  apparatus  is  completely  intact  except  for  lack  of  adequate  nervous  output  from  the  respiratory  centers  in  the  medulla  (central  hypoventilation  syndrome  [CHS])1–3  or  interruption  of  electrical  signals  from  the  medulla  to  the  respiratory  motoneurons  in  the  spinal  cord,  which  innervate  the  major  inspiratory  muscles  (cervical  spinal  cord  injury).  These  patients  can  be  offered  an  alternative  means  of  respiratory  support  by  diaphragmatic  pacing  (DP),  a  more  natural  and  physiologic  form  of  breathing.3–12