Abstract

SEPULVEDA HARO, E et al. Perioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case. Anales Sis San Navarra [online]. 2021, vol.44, n.3, pp.457-462.  Epub May 30, 2022. ISSN 1137-6627.  https://dx.doi.org/10.23938/assn.0951.

Patients with chronic spinal cord injury suffer from a number of pathophysiological alterations that can lead to important morbidity and mortality in the perioperative period. The diaphragmatic pacemaker is a device that enables pulmonary ventilation in patients with high cervical cord injuries and provides them with a better quality of life when compared to mechanical ventilation.

We present here the clinical case of a patient with chronic spinal cord injury who used a diaphragmatic pacemaker, and who was scheduled for percutaneous nephrolithotomy and double-J stent implantation. The anesthesiologist should know the pathophysiological situation of these patients in order to provide a safe perioperatory care.

Keywords : Pacemaker; Phrenic nerve; Spinal cord injuries; Perioperative period; Implanted electrodes.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )