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Pediatric Reports
Volume 11
Issue 1
10.4081/pr.2019.7973
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Case Report

Pediatric Diaphragmatic Pacing

by
Tarek R. Hazwani
*,
Bedoor Alotaibi
,
Wadha Alqahtani
,
Asma Awadalla
and
Ali Al Shehri
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
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2019, 11(1), 7973; https://doi.org/10.4081/pr.2019.7973
Submission received: 17 December 2018 / Revised: 17 December 2018 / Accepted: 22 February 2019 / Published: 11 March 2019

Abstract

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.
Keywords: children; diaphragm; pacing; spinal cord injury; phrenic paralysis; diaphragmatic paralysis; spinal cord stimulator children; diaphragm; pacing; spinal cord injury; phrenic paralysis; diaphragmatic paralysis; spinal cord stimulator

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MDPI and ACS Style

Hazwani, T.R.; Alotaibi, B.; Alqahtani, W.; Awadalla, A.; Al Shehri, A. Pediatric Diaphragmatic Pacing. Pediatr. Rep. 2019, 11, 7973. https://doi.org/10.4081/pr.2019.7973

AMA Style

Hazwani TR, Alotaibi B, Alqahtani W, Awadalla A, Al Shehri A. Pediatric Diaphragmatic Pacing. Pediatric Reports. 2019; 11(1):7973. https://doi.org/10.4081/pr.2019.7973

Chicago/Turabian Style

Hazwani, Tarek R., Bedoor Alotaibi, Wadha Alqahtani, Asma Awadalla, and Ali Al Shehri. 2019. "Pediatric Diaphragmatic Pacing" Pediatric Reports 11, no. 1: 7973. https://doi.org/10.4081/pr.2019.7973

APA Style

Hazwani, T. R., Alotaibi, B., Alqahtani, W., Awadalla, A., & Al Shehri, A. (2019). Pediatric Diaphragmatic Pacing. Pediatric Reports, 11(1), 7973. https://doi.org/10.4081/pr.2019.7973

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