Sepulveda Haro, E.Diaz Crespo, J.Romero Molina, S.Escalona Belmonte, J. J.Guerrero Orriach, J. L.Cruz Manas, J.2025-01-072025-01-072021-09-011137-6627https://hdl.handle.net/10668/26918Patients 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.enPacemakerPhrenic nerveSpinal cord inju-riesPerioperative periodImplanted electrodesresearch article34132246open access10.23938/ASSN.0951https://doi.org/10.23938/assn.0951765475900008