%0 Journal Article
%A Sepulveda Haro, E.
%A Diaz Crespo, J.
%A Romero Molina, S.
%A Escalona Belmonte, J. J.
%A Guerrero Orriach, J. L.
%A Cruz Manas, J.
%T Perioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case
%D 2021
%@ 1137-6627
%U https://hdl.handle.net/10668/26918
%X 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.
%K Pacemaker
%K Phrenic nerve
%K Spinal cord inju-ries
%K Perioperative period
%K Implanted electrodes
%~