Derrington M C, Hindocha N
University Department of Anaesthesia, Leicester Royal Infirmary.
Br J Anaesth. 1988 Sep;61(3):270-8. doi: 10.1093/bja/61.3.270.
The technique of recording the mechanical response of the diaphragm after the transcutaneous stimulation of the phrenic nerve, during anaesthesia and surgery, is described in patients undergoing non-abdominal surgery. The pressure difference generated across the diaphragm after phrenic nerve stimulation was derived from the simultaneous recording of gastric and oesophageal pressures with air-filled balloon catheter systems. This was recorded as the diaphragm "twitch" in a manner similar to that of peripheral muscles. Special problems encountered in the use and the validation of the technique in the anaesthetized patient are considered.
本文描述了在非腹部手术患者中，于麻醉和手术期间经皮刺激膈神经后记录膈肌机械反应的技术。膈神经刺激后膈肌两侧产生的压力差，是通过使用充气球囊导管系统同时记录胃内和食管内压力得出的。这一压力差被记录为膈肌“抽搐”，其方式类似于外周肌肉。文中还考虑了在麻醉患者中使用该技术以及对其进行验证时遇到的特殊问题。
