Assessment of the motor pathway to the diaphragm using cortical and cervical magnetic stimulation in the decision-making process of phrenic pacing

Chest
T SimilowskiJ P Derenne

Abstract

Phrenic nerve pacing is a recognized substitute to positive pressure ventilation via tracheotomy in patients with high cervical cord lesions or central hypoventilation. Although its indications are infrequent, reliable strategies need to be used in the determinations of patients who may benefit from this treatment; contraindications should be carefully respected. To determine whether modern and noninvasive means to study the motor pathway to the diaphragm, namely cortical magnetic stimulation (CxMS) and cervical magnetic stimulation (CMS), can contribute to the selection of patients who may benefit from phrenic pacing. Prospective study (18 months), on a consecutive basis, of patients referred for possible phrenic pacing to a 10-bed ICU associated with a respiratory neurophysiology laboratory. Seven patients (high cervical cord injury, n = 5; central hypoventilation following neurosurgery, n = 1; idiopathic acquired central hypoventilation, n = 1). INTERVENTION, MEASUREMENTS, AND RESULTS: Electromyography of the diaphragm and transdiaphragmatic pressure were assessed in response to CxMS and CMS. In three cases, no interruption of the corticodiaphragmatic pathway was evidenced, the decision of pacing was postponed, and the patie...Continue Reading

References

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Aug 1, 1996·American Journal of Respiratory and Critical Care Medicine·T SimilowskiJ P Derenne
Jun 1, 1996·The European Respiratory Journal·T SimilowskiJ P Derenne

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Citations

Oct 22, 2003·Sleep & Breathing = Schlaf & Atmung·Isabelle ArnulfThomas Similowski
Jul 11, 2001·Critical Care Medicine·T Similowski
Feb 12, 1998·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·R D Chervin, C Guilleminault
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Aug 21, 2002·American Journal of Respiratory and Critical Care Medicine·UNKNOWN American Thoracic Society/European Respiratory Society
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Apr 10, 2003·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Alexandre DemouleThomas Similowski
May 31, 2011·The Journal of Thoracic and Cardiovascular Surgery·Françoise Le Pimpec-BarthesThomas Similowski
May 11, 2004·Revue de pneumologie clinique·L BrouchetM Dahan
Oct 6, 2005·Clinical Neurology and Neurosurgery·Venetia TsaraAristidis Kazis
Aug 12, 2015·Annals of Physical and Rehabilitation Medicine·J Gonzalez-BermejoC Morélot-Panzini
Apr 19, 2006·Respiratory Medicine·Eric VerinPhilippe Denis
Sep 11, 2008·Clinical Science·Yuan Ming LuoMichael I Polkey
Oct 23, 2002·Journal of Applied Physiology·Alexandre DemouleThomas Similowski
Dec 15, 2020·Muscle & Nerve·Vivien ReynaudFrédéric Lofaso
Oct 18, 2005·Revue des maladies respiratoires·A Demoule, L Brochard

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