Evaluation Electrical Activity of Diaphragm and Respiratory Drive During Successful Weaning of Traumatic Quadriplegic Patient by Neutrally Adjusted Ventilatory Assist Mode
AbstractThe case is 43 years old woman referred to emergency department of our hospital with quadriplegia and severe respiratory insufficiency due to C5-C6 injury after falling. She discharged from ICU after fixation of the lesion and successful weaning. We evaluated electrical activity of diaphragm signal (Edi), Respiratory drive (P100) during one month period. We detected increase in level of electrical activity of diaphragm and respiratory drive during weaning of patient.
Vaquez R G, Sedes P R, Fariña M M, Marqués A M, Velasco E F. Respiratory managment in the patient with spinal cord injury, BioMed Research International. 2013; 2013: [about 12pp]. Available from: http://dx.doi.org/10.1155/2013/168757
Brown R, DiMarco A F, Hoit J D, Garshick E. Respiratory dysfunction and management in spinal cord injury. Respir Care. 2006; 51(8):853-70.
Shavelle R M, DeVivo M J, Strauss D J, Paculdo D R, Lammertse D P, Day S M. Long-term survival of persons ventilator dependent after spinal cord injury. J Spinal Cord Med. 2006; 29(5): 511-9.
Terzi N, Pelieu I, Guittet L, Ramakers M, Seguin A, Daubin C, et al, Neurally adjusted ventilatory assist in patients recovering spontaneous breathing after acute respiratory distress syndrome: physiological evaluation. Crit Care Med.2010; 38(9):1830-7.
Leiheger K, Bonomo J. NAVA in the neurologically injured. Respiratory care and sleep medcine, 2012; Available from: http://respiratory-care-sleep-medicine.advanceweb.com/Features/Articles/NAVA-in-the-Neurologically-Injured.aspx
Verbrugghe W, Jorens PG. Neurally adjusted ventilatory assist: a ventilation tool or a ventilation toy? Respir Care. 2011; 56(3):327-35.
Miguel L. Tedde, Paulo Vasconcelos Filho, Ludhmila Abrahão Hajjar, Juliano Pinheiro de Almeida, Gustavo Fagundes Flora, Erica Mie Okumura, et al. Diaphragmatic pacing stimulation in spinal cord injury: anesthetic and perioperative management. Clinics (Sao Paulo). 2012; 67(11): 1265-9.