{"id":36690,"date":"2011-02-02T18:04:37","date_gmt":"2011-02-02T10:04:37","guid":{"rendered":"https:\/\/www.columbiaasia.com\/malaysia\/?post_type=health-article&#038;p=36690"},"modified":"2024-06-12T18:13:00","modified_gmt":"2024-06-12T10:13:00","slug":"phrenic-nerve-pacemaker-for-long-term-ventilation","status":"publish","type":"health-article","link":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/phrenic-nerve-pacemaker-for-long-term-ventilation\/","title":{"rendered":"Phrenic Nerve Pacemaker for long term ventilation"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"36690\" class=\"elementor elementor-36690\">\n\t\t\t\t<div class=\"elementor-element elementor-element-66bb0b0 e-con-full e-flex e-con e-parent\" data-id=\"66bb0b0\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-08e0ff7 elementor-widget elementor-widget-text-editor\" data-id=\"08e0ff7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Phrenic Nerve Pacing is an alternative to long term use of conventional positive-pressure ventilators. Though this technology has been available for more than 20 years, it remains largely unknown to most Malaysian healthcare providers.<br \/><br \/>The main components of Phrenic Nerve Pacemakers are the:<br \/>\u00a0<\/p><ol><li>External transmitter<\/li><li>External antennae for transmission of radiofrequency signals<\/li><li>Subdermal receivers<\/li><li>Electrodes which directly depolarize each Phrenic Nerve<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a8d8e6 elementor-widget elementor-widget-spacer\" data-id=\"5a8d8e6\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c4ce1b elementor-widget elementor-widget-image\" data-id=\"8c4ce1b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"350\" height=\"400\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/phrenic-nerve-1.png\" class=\"attachment-large size-large wp-image-36700\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/phrenic-nerve-1.png 350w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/phrenic-nerve-1-263x300.png 263w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-121fc98 elementor-widget elementor-widget-spacer\" data-id=\"121fc98\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd3fac8 elementor-widget elementor-widget-text-editor\" data-id=\"dd3fac8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>In comparison with conventional ventilators, size and portability remain the main advantage of this system. It is particularly useful for younger patients with medical problems such as high cervical spinal cord injuries, congenital central hypoventilation syndrome, primary alveolar hypoventilation, certain forms of brainstem stroke, head injuries and brain tumors.<br \/><br \/>Despite having many advantages, this product is only effective on patients with intact phrenic nerve function. As such, proper evaluation of phrenic nerve function is imperative before surgical implantation of electrodes. Though the surgery can be performed at very reasonable charges, the actual product is costly and may be accessible to only a handful of patients. Nevertheless, the manufacturer estimates a full return on investment within a period of 4 years, when compared to the use of conventional ventilators.<br \/><br \/>Surgical placement of electrodes can either be done by the cervical or thoracic approach, depending on the individual Surgeon\u2019s preference. The surgery itself is rather straight forward with most patients being discharges 2 days after the procedure. Initiation of pacemaker use is usually commenced about 6 weeks after surgery, allowing sufficient time for any edema surrounding the phrenic nerves to subside.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16e69bb elementor-widget elementor-widget-spacer\" data-id=\"16e69bb\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d494643 elementor-widget elementor-widget-image\" data-id=\"d494643\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"293\" height=\"137\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/phrenic-nerve-3.png\" class=\"attachment-large size-large wp-image-36701\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12399da elementor-widget elementor-widget-spacer\" data-id=\"12399da\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12f4afa elementor-widget elementor-widget-text-editor\" data-id=\"12f4afa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>To date, this surgery has only been performed once in Malaysia &#8211; a joint effort between Institut Jantung Negara and Columbia Asia Extended Care Hospital to treat a quadriplegic patient with high cervical spinal cord injury.<br \/><br \/>Bilateral surgical wounds measuring approximately 2 \u00bd inches.<br \/><br \/>In summary, increased awareness towards the availability of such products will go a long way in providing better quality of life for selected patients. For more details on phrenic nerve pacing, please visit the manufacturer\u2019s webpage:\u00a0<a href=\"http:\/\/www.averybiomedical.com\/\">www.averybiomedical.com<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Phrenic Nerve Pacing is an alternative to long term use of conventional positive-pressure ventilators. Though this technology has been available for more than 20 years, it remains largely unknown to most Malaysian healthcare providers.<\/p>\n","protected":false},"author":2,"featured_media":22784,"template":"","topic":[115,163],"language":[137],"class_list":["post-36690","health-article","type-health-article","status-publish","has-post-thumbnail","hentry","topic-extended-care","topic-neurology","language-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Phrenic Nerve Pacemaker for long term ventilation - Columbia Asia Hospital I Private Hospital in Malaysia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/phrenic-nerve-pacemaker-for-long-term-ventilation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Phrenic Nerve Pacemaker for long term ventilation - Columbia Asia Hospital I Private Hospital in Malaysia\" \/>\n<meta property=\"og:description\" content=\"Phrenic Nerve Pacing is an alternative to long term use of conventional positive-pressure ventilators. 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