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Diaphragmatic Pacemaker Placement in Spinal Cord Injury Patients2015

Type: New Practice Management Guideline (PMG)
Category: Surgical Critical Care
Committee Liaison: Brian H. Williams, MD, FACS


Team leader(s)

There is increasing evidence that diaphragm pacing is effective in helping patients with spinal cord injury become independent of ventilators. But this is not yet common practice.

PICO #1
Population: patients with Cervical spinal cord injury and respiratory failure
Intervention: Diaphragm pacing
Comparison: No pacing
Outcome: 1. Mortality 2. Ventilator days 3. LOS 4. Need for Trach

PICO #2
Population: patients with Cervical spinal cord injury and respiratory failure
Intervention: early Diaphragm pacing (index hospitalization)
Comparison: late diaphragm pacing
Outcome: 1. Mortality 2. Ventilator days 3. LOS 4. Need for Trach

Work Group Members
James Bardes, MD
Bruce Chung, MD
Philipp Dahm, MD, MHSc
Michael Ditillo, DO
Mark Hamill, MD
Elliott Jessie, MD, MBA
Uzer Khan, MD, MBBS
Chet Morrison, MD
Abhijit Pathak, MD, MSE
Brian Yorkgitis, DO


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