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Re: pacemaker for central sleep apnea?


Posted by Carolyn on February05, 2000 at 04:07:18:

In Reply to: pacemaker for central sleep apnea? posted by kathy wall on February04, 2000 at 21:46:30:

I found this abstract that may be of help.
Carolyn

Respiration 1998;65(4):313-6

Eight-year follow-up study of a patient with central alveolar hypoventilation treated with diaphragm pacing.

Yasuma F, Sakamoto M, Okada T, Abe K

First Department of Internal Medicine, Nagoya University School of Medicine, Nagoya, Japan.

We had treated a 17-year-old girl with central alveolar hypoventilation with diaphragm pacing at home for the past 8 years.
Nocturnal diaphragm pacing with an open tracheostomy was effective in maintaining an adequate ventilation after 4 months of
undergoing training of the diaphragm on the pacemaker implantation. However, the diaphragm pacemaker failed to maintain it
mostly in the presence of respiratory tract infection, when she was treated with intermittent positive-pressure ventilation. Pulse
oximetry was used at home for monitoring the adequacy of respiratory support. We conclude that the respiratory assistance by
the diaphragm pacemaker or the use of a mechanical ventilator as a backup was highly useful for the home care of a patient
with central alveolar hypoventilation.

PMID: 9730801, UI: 98400065

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