RT Journal Article T1 Perioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case A1 Sepulveda Haro, E. A1 Diaz Crespo, J. A1 Romero Molina, S. A1 Escalona Belmonte, J. J. A1 Guerrero Orriach, J. L. A1 Cruz Manas, J. K1 Pacemaker K1 Phrenic nerve K1 Spinal cord inju-ries K1 Perioperative period K1 Implanted electrodes AB 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. PB Gobierno de navarra SN 1137-6627 YR 2021 FD 2021-09-01 LK https://hdl.handle.net/10668/26918 UL https://hdl.handle.net/10668/26918 LA en DS RISalud RD Apr 8, 2025