Avoiding Mechanical Ventilation Using NeuRX Diaphragmatic Pacing in Pediatric Paraplegic Patients: A Case Series

Abstract

Introduction: Pediatric patients with respiratory failure often suffer from a variety of pathologies, including spinal cord injuries, congenital disease, or central hypoventilation syndrome. Often, the lungs, diaphragm, and phrenic nerve are physiologically functional. Previous studies within the adult population have demonstrated successful diaphragm pacing. However, in the pediatric population it is still investigational. Diaphragmatic pacing offers several benefits, including significant improvements in quality of life through the effects of increased mobility, decreased psychosocial implications, and a more physiologic method of breathing when compared to mechanical ventilation. There may also be …