ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Diaphragm pacing stimulation system in patient with central alveolar hypoventilation: case report and first experience in Turkey
Aydın Şanlı1, İhsan Şengün2, Yılmaz Bülbül3, Oya İtil4, Sevgi Özalevli5
1Dokuz Eylül Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir, Türkiye
2Dokuz Eylül Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, İzmir, Türkiye
3Karadeniz Teknik Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Trabzon, Türkiye
4Dokuz Eylül Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İzmir, Türkiye
5Dokuz Eylül Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksekokulu, İzmir, Türkiye
DOI : 10.5606/tgkdc.dergisi.2015.9206
This article aims to document the efficiency of diaphragm pacing stimulation system (DPSS) in a patient diagnosed with central alveolar hypoventilation and dependent to mechanical ventilation (MV). A 65-year-old male patient who developed respiratory failure due to sepsis secondary to pulmonary infection was monitored in intensive care with MV. Although all septic symptoms recovered, patient became dependant to MV since respiration was not triggered centrally. DPSS was implemented in a patient with laparoscopic surgery for the first time in Turkey. Patient started using DPSS as of postoperative second day and completely separated from MV dramatically. Laparoscopic DPSS can be performed safely under general anesthesia may improve similar patients’ respiratory and other clinic conditions as well as health related quality of life. Therefore, DPSS may be used more commonly in patients with central alveolar hypoventilation.
Keywords : Central alveolar hypoventilation; diaphragm pacing stimulation system; weaning from mechanical ventilation
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