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[Diaphragm pacemaker: alternative for long-term ventilatory support; 5 years later].
- Source :
-
Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2019 Apr 04; Vol. 163. Date of Electronic Publication: 2019 Apr 04. - Publication Year :
- 2019
-
Abstract
- Currently, more than 3000 patients in the Netherlands receive long-term ventilatory support. In the majority of patients, long-term ventilatory support leads to increased survival without any complications. Diaphragm pacing with an external pacemaker (diaphragm pacing system, DPS) seems an attractive alternative for long-term ventilatory support by mask or tracheostomy. Scientific research has since shown that DPS is effective in patients with high cervical paraplegia. In addition, patients with congenital central hypoventilation syndrome are also eligible for DPS. Patients with diaphragm paralysis are a new group of patients who may be eligible for DPS. Two European studies have shown that DPS should not be used in patients with amyotrophic lateral sclerosis. In our experience, patients are no longer completely dependent on a ventilator or may even be able to discontinue using one if the procedure was successful. In the Netherlands, as far as we know, the technique is only used at the University Medical Center Groningen.
- Subjects :
- Electric Stimulation Therapy instrumentation
Humans
Hypoventilation therapy
Netherlands
Respiration, Artificial methods
Tracheostomy
Treatment Outcome
Diaphragm
Electric Stimulation Therapy methods
Electrodes
Hypoventilation congenital
Respiratory Paralysis therapy
Sleep Apnea, Central therapy
Subjects
Details
- Language :
- Dutch; Flemish
- ISSN :
- 1876-8784
- Volume :
- 163
- Database :
- MEDLINE
- Journal :
- Nederlands tijdschrift voor geneeskunde
- Publication Type :
- Academic Journal
- Accession number :
- 31050274