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Pediatric diaphragmatic pacing

Tarek R Hazwani1, Bedoor Alotaibi1, Wadha Alqahtani1

  • 1King 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.

Pediatric Reports
|April 20, 2019
PubMed

Insights

Diaphragmatic pacing aids mechanical ventilation weaning in children with diaphragm paralysis. This case report highlights its effectiveness in a pediatric patient, improving quality of life.

Area of Science:

  • Pediatric critical care medicine
  • Neuromuscular disorders
  • Respiratory physiology

Background:

  • Diaphragmatic pacing is established for adults with diaphragm paralysis, aiding mechanical ventilation weaning.
  • Its application and efficacy in pediatric patients remain less documented.
  • Diaphragm paralysis in children can result from various causes, including spinal cord injury.

Purpose of the Study:

  • To report the use and effectiveness of diaphragmatic pacing in a pediatric patient with diaphragm paralysis.
  • To review the concept, types, and indications for diaphragmatic pacing.
  • To compare its use in adult versus pediatric populations.

Main Methods:

  • Case presentation of a 4-year-old child with spinal cord injury leading to quadriplegia and diaphragm paralysis.
  • Description of the diaphragmatic pacing procedure and its implantation sites.
  • Review of existing literature on diaphragmatic pacing in adults and children.

Main Results:

  • The pediatric patient successfully underwent diaphragmatic pacing.
  • The procedure facilitated gradual weaning from mechanical ventilation.
  • Diaphragmatic pacing demonstrated effectiveness in improving quality of life for the pediatric patient.

Conclusions:

  • Diaphragmatic pacing is a viable and effective treatment for pediatric diaphragm paralysis.
  • It offers a promising alternative for mechanical ventilation weaning in children.
  • Further research is warranted to expand its use in pediatric populations.

Keywords:
Childrendiaphragmdiaphragmatic paralysispacingphrenic paralysisspinal cord injuryspinal cord stimulator

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