[Benefit of phrenic nerve stimulation for patients with complete traumatic lesion of the spinal cord and loss of spontaneous breathing]

Karlsson AK, Eriksson M, Gabel J, Hemlin G, Jivegard L, Nordin M, Wikberg Adania U, Sjovall H
Record ID 32011001688
Authors' objectives:

Can electric phrenic nerve stimulation, for patients with chronic need of mechanical ventilator, caused by complete traumatic lesion of the spinal cord improve survival, reduce respiratory tract infections, improve quality of life, reduce hospitalization rates, and reduce complications, compared to continued ventilator treatment?

Authors' recomendations: It is today feasible to ventilate this patient group by stimulation of the phrenic nerve during most of the hours of a day, but there is insufficient evidence (GRADE) for a reduction in mortality, a reduced risk for respiratory tract infections, decreased hospitalization, or improved quality of life, by using stimulation of the phrenic nerve instead of continued ventilator treatment. Moreover, the risk of complications is insufficiently elucidated.
Project Status: Completed
Year Published: 2011
English language abstract: An English language summary is available
Publication Type: Not Assigned
MeSH Terms
  • Humans
  • Phrenic Nerve
  • Respiration
  • Respiratory Insufficiency
  • Spinal Cord Injuries
  • Transcutaneous Electric Nerve Stimulation
  • Wounds and Injuries
Organisation Name: The Regional Health Technology Assessment Centre
Contact Address: The Regional Health Technology Assessment Centre, Region Vastra Gotaland, HTA-centrum, Roda Straket 8, Sahlgrenska Universitetssjukhuset, 413 45 GOTHENBORG, Sweden
Contact Name: hta-centrum@vgregion.se
Contact Email: hta-centrum@vgregion.se
Copyright: The Regional Health Technology Assessment Centre (HTA-centrum), Region Vastra Gotaland
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