Diaphragmatic pacing to facilitate ventilator weaning in neuromyelitis optica-associated respiratory failure

Megan R. Rahmlow, Kevin Boylan, William D. Freeman

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Patients with neuromyelitis optica may develop neurogenic respiratory failure in the context of severe upper cervical myelitis, which can require prolonged or indefinite mechanical ventilation. Diaphragmatic pacing has FDA approval under a humanitarian device exemption (HDE) to facilitate weaning from mechanical ventilation in the context of cervical spinal cord injury. We describe the use of diaphragmatic pacing in a patient with acute respiratory failure due to a severe attack of neuromyelitis optica on the cervical spinal cord. The device resulted in successful early ventilator weaning.

Original languageEnglish (US)
Pages (from-to)145-147
Number of pages3
JournalMultiple Sclerosis and Related Disorders
Volume1
Issue number3
DOIs
StatePublished - Jul 1 2012

Keywords

  • Devics Disease
  • Diaphragmatic pacemaker
  • Longitudinally-extensive myelitis
  • Neurogenic respiratory failure
  • Neuromyelitis optica
  • Phrenic nerve pacing

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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