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- Kevin Dalal and Anthony F DiMarco.
- Department of Physical Medicine and Rehabilitation, University of Miami-Miller School of Medicine, 1120 North West 14th Street, Suite 936, Miami, FL 33136, USA. Electronic address: kdalal@med.miami.edu.
- Phys Med Rehabil Clin N Am. 2014 Aug 1; 25 (3): 619-29, viii.
AbstractAfter cervical spinal cord injuries, many patients are unable to sustain independent ventilation because of a disruption of diaphragm innervation and respiratory functioning. If phrenic nerve function is preserved, the patient may be able to tolerate exogenous pacing of the diaphragm via electrical stimulation. Previously this was accomplished by stimulation directly to the phrenic nerves, but may be accomplished less invasively by percutaneously stimulating the diaphragm itself. The benefits, when compared with mechanical ventilation, include a lower rate of pulmonary complications, improved venous return, more normal breathing and speech, facilitation of eating, cost-effectiveness, and increased patient mobility. Copyright © 2014 Elsevier Inc. All rights reserved.
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