Diaphragm pacing stimulation system in patient with central alveolar hypoventilation: case report and first experience in Turkey

Aydın Şanlı; İhsan Şengün; Yılmaz Bülbül; Oya İtil; Sevgi Özalevli

doi:10.5606/tgkdc.dergisi.2015.9206

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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