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Journals / Journal of Neurological Sciences (Turkish) / 2013 / Cilt: 30 - Sayı: 2

Amyotrofik Lateral Skleroz Hastalarında Diyafragmatik Pil Uygulamasının Sonuçları. İlk Türkiye Deneyimi

Results Of Diaphragm Pacing Application in Amyotrophic Lateral Sclerosis Patients. First Turkish Experience

Aydın TAŞDÖĞEN
Volkan KARAÇAM
Nezih ÖZDEMİR
Ahmet ÖNEN
Sevgi ÖZALEVLİ
Aslı SAVAŞ ARSLAN
Bahar AĞAOĞLU
Aydın ŞANLI
İhsan Şükrü ŞENGÜN
Bahriye Oya İTİL
Pages
305–313
Publication Date
2022-10-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

LaparoscopicDPSS procedure done under general anesthesia in ALS patients was proven to be able to bedone safely and has positive effects on clinical, functional status and quality of life.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To share the application and outcomes of diaphragmatic pace stimulating system(DPSS) used in amyotrophic lateral sclerosis (ALS) patients first in Turkey.Patients and Method: Eleven ALS patients were included in DPSS procedure.
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Key Findings & Data:Mean age ofthe patients was estimated as 57.55±8.80 years.
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Conclusion & Impact:LaparoscopicDPSS procedure done under general anesthesia in ALS patients was proven to be able to bedone safely and has positive effects on clinical, functional status and quality of life.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: To share the application and outcomes of diaphragmatic pace stimulating system(DPSS) used in amyotrophic lateral sclerosis (ALS) patients first in Turkey.Patients and Method: Eleven ALS patients were included in DPSS procedure. Mean age ofthe patients was estimated as 57.55±8.80 years. Four patients who were using mechanicalventilator (MV) had tracheostomy. DPSS procedure was done by laparoscopically implantingtwo electrodes to the diaphragmatic regions which respond electrical stimulation best.Results: Mean duration of hospital stay was 15.64±7.09 days. Peripheral oxygen saturationwhich was 93.91±2.88% in preoperative period was found to increase to 96.00±1.79% inpostoperative period. One patient was completely weaned from MV support. LaparoscopicDPSS procedure done under general anesthesia in ALS patients was proven to be able to bedone safely and has positive effects on clinical, functional status and quality of life.

Özet

Amaç: Türkiye'de ilk kez amyotrofik lateral skleroz (ALS) hastalarına uygulanandiyafragmatik pil uyarım sisteminin (DPUS) uygulama ve sonuçlarını paylaşmak.Hastalar ve Yöntem: DPUS, 11 ALS hastasına uygulandı. Hastaların ortalama yaşı57.55±8.80 yıl olarak hesaplandı. Mekanik ventilasyon kullanan 4 hastada trakeostomi vardı.DPUS uygulaması, diyafragmanın elektriksel uyarıma en iyi yanıtı verdiği bölgelerelaparoskopik olarak implante edilen iki elektrot ile yapıldı.Sonuçlar: Ortalama hastanede kalış süresi 15.64±7.09 gün idi. Preoperatif dönemde93.91±288 olan ortalama periferik oksijen saturasyonu postoperatif dönemde 96.00±1.79'ayükseldi. Bir hasta tümüyle mekanik ventilasyon desteğinden kurtuldu. ALS hastalarındagenel anestezi altında uygulanan laparoskopik DPUS'un güvenli olduğu ve fonksiyonel durumile yaşam kalitesi üzerine pozitif etkisinin olduğu gösterildi.

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Cite This Article

TAŞDÖĞEN, A., KARAÇAM, V., ÖZDEMİR, N., ÖNEN, A., ÖZALEVLİ, S., ARSLAN, A. S., AĞAOĞLU, B., ŞANLI, A., ŞENGÜN, İ. Ş., İTİL, B. O. (2022). Amyotrofik Lateral Skleroz Hastalarında Diyafragmatik Pil Uygulamasının Sonuçları. İlk Türkiye Deneyimi. Journal of Neurological Sciences (Turkish), Cilt: 30 - Sayı: 2, 305–313. https://ajindex.com/articles/565193

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