ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Diaphragm-pacing stimulation system in a tetraplegic patient: a case report and the first Turkish experience
Aydın Şanlı1, Sevgi Özalevli2, İhsan Ş. Şengün3, Aydın Taşdöğen4, Ahmet Önen1, Nezih Özdemir1
Dokuz Eylül Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir, Türkiye
1Dokuz Eylül Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir, Türkiye
2Dokuz Eylül Üniversitesi, Fizik Tedavi ve Rehabilitasyon Yüksekokulu, İzmir, Türkiye
3Dokuz Eylül Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, İzmir, Türkiye
4Dokuz Eylül Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, İzmir, Türkiye
DOI : 10.5606/tgkdc.dergisi.2014.8201
Diaphragmatic pace stimulating system (DPSS) through laparoscopic surgery technique was applied to a patient with cervical spinal cord injury for the first time in Turkey to investigate the efficacy of DPSS. The patient used DPSS together with mechanical ventilator beginning from the postoperative second week. She could be weaned from mechanical ventilator for three hours without the need for oxygen support on postoperative second month and for four hours on postoperative third month. The patient had improved fatigue tolerance, sense of smell, speech, quality of sleep, and mental state. In conclusion, our study results show that DPSS, which can be done safely with laparoscopic surgery under general anesthesia, may improve respiratory state and other wellness of such patients and have positive effects on health-related quality of life, thus, DPSS application should become widespread among tetraplegic patients with spinal cord injury.
Keywords : Diaphragmatic pace stimulating system; laparoscopic surgery; tetraplegia
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