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MEASUREMENT OF EVOKED DIAPHRAGM TWITCH STRENGTH DURING ANAESTHESIA

The technique of recording the mechanical response of the diaphragm after the transcu-taneous stimulation of the phrenic nerve, during anaesthesia and surgery, is described in patients undergoing non-abdominal surgery. The pressure difference generated across the diaphragm after phrenic nerve stimul...

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Bibliographic Details
Published in:British journal of anaesthesia : BJA 1988-09, Vol.61 (3), p.270-278
Main Authors: DERRINGTON, M.C., HINDOCHA, N
Format: Article
Language:English
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Description
Summary:The technique of recording the mechanical response of the diaphragm after the transcu-taneous stimulation of the phrenic nerve, during anaesthesia and surgery, is described in patients undergoing non-abdominal surgery. The pressure difference generated across the diaphragm after phrenic nerve stimulation was derived from the simultaneous recording of gastric and oesophageal pressures with air-filled balloon catheter systems. This was recorded as the diaphragm “twitch” in a manner similar to that of peripheral muscles. Special problems encountered in the use and the validation of the technique in the anaesthetized patient are considered.
ISSN:0007-0912
1471-6771
DOI:10.1093/bja/61.3.270