Hazwani Tarek R, Alotaibi Bedoor, Alqahtani Wadha, Awadalla Asma, Shehri Ali Al
King Abdullah Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs (NGHA), Riyadh, Saudi Arabia.
Pediatr Rep. 2019 Mar 11;11(1):7973. doi: 10.4081/pr.2019.7973. eCollection 2019 Feb 26.
Diaphragmatic pacing has been shown to play a significant role in adult patients with diaphragmatic paralysis and facilitates mechanical ventilation weaning. However, reports on its use in paediatric patients are scarce. This report is about a 4-year-old child with a spinal cord injury secondary to a motor vehicle accident that led to quadriplegia and diaphragm paralysis. The patient underwent a diaphragmatic pacing procedure, which helped start gradual weaning from mechanical ventilation. We reviewed the concept of the diaphragmatic pacer and its types depending on the site of the implantation. In addition, we reviewed who can benefit from using a diaphragmatic pacer and compared its use in adults versus paediatric patients. Our case showed that diaphragmatic pacing appears to be effective, as it facilitates mechanical ventilation weaning and improves the quality of life outcome in paediatric patients with diaphragmatic paralysis.
膈神经起搏已被证明在成年膈神经麻痹患者中发挥重要作用，并有助于机械通气撤机。然而，关于其在儿科患者中的应用报道却很少。本报告讲述的是一名4岁儿童，因机动车事故导致脊髓损伤，进而引发四肢瘫痪和膈肌麻痹。该患者接受了膈神经起搏手术，这有助于开始逐步脱离机械通气。我们回顾了膈神经起搏器的概念及其根据植入部位的类型。此外，我们还回顾了哪些人可以从使用膈神经起搏器中获益，并比较了其在成人和儿科患者中的应用。我们的病例表明，膈神经起搏似乎是有效的，因为它有助于儿科膈肌麻痹患者的机械通气撤机，并改善生活质量。
