Kerwin AJ, et al. Utility of diaphragm pacing in the management of acute cervical spinal cord injury. J Trauma Acute Care Surg. 2018 Jul 5. [Epub ahead of print]
BACKGROUND: Cervical spinal cord injury (CSCI) is devastating. Respiratory failure, ventilator associated pneumonia (VAP), sepsis, and death frequently occur. Case reports of diaphragm pacing (DPS) have suggested earlier liberation from mechanical ventilation in acute CSCI patients. We hypothesized DPS implantation would decrease VAP and facilitate liberation from ventilation.