Anesthetic management of the diaphragmatic pacemaker placement surgery. Our experience in the Institut Guttmann

Alegret, Núria; Serra, P.; Pessas, J. P.; Curià, X.; Vidal, Joan; Valéro, R.

doi:10.1016/j.redare.2019.10.001

Cited by 2 publications

(3 citation statements)

References 20 publications

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“…Intravenous tramadol was used for postoperative analgesia. OSTAP Block was applied under general anesthesia, just before the surgical incision, in order to reduce the response to the surgical procedure [1,5,7,[10][11][12][13][14]17].…”

Section: Conclusion and Discussionmentioning

confidence: 99%

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Evaluation of Oblique Subcostal Transversus Abdominis Plane Block Effectiveness in Amyotrophic Lateral Sclerosis Patients Undergoing Laparoscopic Cholecystectomy

Ozciftci¹,

Hulya²

2020

Int J Neurol Neurother

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ALS is a rare motor neuron disease. Since surgical procedures exacerbate ALS, surgical procedures are not usually applied except in the necessary cases. Pulmonary complications are the main cause of mortality in ALS patients, because respiratory and swallowing muscles may be affected. Although opioids provide effective analgesia, they are not the best choice in ALS patients because they can cause nausea-vomiting and have negative effects on respiratory functions. Oblique Subcostal Transversus Abdominis Plane Block provides highly effective analgesia in laparoscopic cholecystectomy operations. In this case report, we evaluated the effectiveness of the OSTAP block in ALS patients, which is one of the rare diseases and rarely underwent Laparoscopic Cholecystectomy. As far as we know, this case report is the first and only in literature. Laparoscopic Cholecystectomy was performed under general anesthesia on a 56-year-old male patient. Unilateral OSTAP block (30 ml 0.25%) was applied. The patient's postoperative 10 th -hour pain score was 4, and 75 mg diclofenac sodium i.m. administered. The patient did not need any other analgesics. In this case; we detected that the OSTAP block provides effective analgesia.

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Section: Conclusion and Discussionmentioning

confidence: 99%

“…ALS is frequently encountered in the fifth and sixth decades. It is a rare disease with • Page 2 of 4 • vertebral Nerve Block, one of the peripheral nerve block methods, can be given as an example [1][2][3][4][5][6][7][8][9][10][11][12].…”

mentioning

confidence: 99%

Evaluation of Oblique Subcostal Transversus Abdominis Plane Block Effectiveness in Amyotrophic Lateral Sclerosis Patients Undergoing Laparoscopic Cholecystectomy

Ozciftci¹,

Hulya²

2020

Int J Neurol Neurother

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“…The application of DP techniques usually involves stimulation of the bilateral phrenic nerves or bilateral hemidiaphragm ( Moxham and Shneerson, 1993 ; Alegret et al, 2019 ), which means that two independent stimulation channels need to be included in the DP system ( Figure 1 ). Two independent, communicative, and identically circuited stimulators, named primary stimulator and secondary stimulator, constituted the control circuit of DP system.…”

Section: Methodsmentioning

confidence: 99%

Paced breathing and respiratory movement responses evoked by bidirectional constant current stimulation in anesthetized rabbits

Guo

Cai

et al. 2023

Front. Bioeng. Biotechnol.

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Objective: Diaphragm pacing (DP) is a long-term and effective respiratory assist therapy for patients with central alveolar hypoventilation and high cervical spinal cord injury. The existing DP system has some limitations, especially high price, inconvenience preoperative evaluation methods and diaphragm fatigue easily. Our objective was to develop a DP system and evaluated reliability through hardware testing and animal experiments.Methods: A DP system with bidirectional constant current was designed, manufactured and tested. Effects of a wide range of stimulus amplitudes (range: .5–2.5 mA) and frequencies (range: 10–250 Hz) on airflow and corresponding inspired volume were investigated during DP. Differences in airflow characteristics under various stimulation parameters were evaluated using power function. ECG interference in diaphragm electromyography (EMGdi) was filtered out using stationary wavelet transform to obtain pure EMGdi (EMGdip). 80-min period with a tendency for diaphragm fatigue by root mean square (RMS) and centroid frequency (fc) of EMGdip was studied.Results: The increase of stimulus frequency and amplitude in animals resulted in different degrees of increase in envoked volume. Significant difference in Airflow Index (b) between anesthesia and DP provided a simple, non-invasive and feasible solution for phrenic nerve conduction function test. Increased stimulation duration with the developed DP system caused less diaphragm fatigue.Conclusion: A modular, inexpensive and reliable DP was successfully developed. Its effectiveness was confirmed in animal experiments.Significance: This study is useful for design of future implantable diaphragmatic pacemakers for improving diaphragm fatigue and convenient assessment of respiratory activity in experiments.

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Anesthetic management of the diaphragmatic pacemaker placement surgery. Our experience in the Institut Guttmann

Cited by 2 publications

References 20 publications

Evaluation of Oblique Subcostal Transversus Abdominis Plane Block Effectiveness in Amyotrophic Lateral Sclerosis Patients Undergoing Laparoscopic Cholecystectomy

Evaluation of Oblique Subcostal Transversus Abdominis Plane Block Effectiveness in Amyotrophic Lateral Sclerosis Patients Undergoing Laparoscopic Cholecystectomy

Paced breathing and respiratory movement responses evoked by bidirectional constant current stimulation in anesthetized rabbits

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