ASPHYXIA NEONATORUM TREATED BY ELECTRICAL STIMULATION OF THE PHRENIC NERVE

1951 ◽  
Vol 6 (6) ◽  
pp. 821
Author(s):  
K. W. CROSS ◽  
P. W. ROBERTS
Keyword(s):  
Electrical Stimulation ◽  
Phrenic Nerve ◽  
Asphyxia Neonatorum ◽  
Stimulation Of

scholarly journals Asphyxia Neonatorum Treated by Electrical Stimulation of the Phrenic Nerve

BMJ ◽  
1951 ◽  
Vol 1 (4714) ◽  
pp. 1043-1048 ◽  
Author(s):  
K. W. Cross ◽  
P. W. Roberts
Keyword(s):  
Electrical Stimulation ◽  
Phrenic Nerve ◽  
Asphyxia Neonatorum ◽  
Stimulation Of

Activation of thalamic ventroposteriolateral neurons by phrenic nerve afferents in cats and rats

2003 ◽  
Vol 94 (1) ◽  
pp. 220-226 ◽  
Author(s):  
Weirong Zhang ◽  
Paul W. Davenport
Keyword(s):  
Electrical Stimulation ◽  
Somatosensory Cortex ◽  
Phrenic Nerve ◽  
Proprioceptive Information ◽  
Neural Responses ◽  
Afferent Stimulation ◽  
Physiological Conditions ◽  
Sensory Pathways ◽  
Increased Activity ◽  
Stimulation Of

It has been demonstrated that phrenic nerve afferents project to somatosensory cortex, yet the sensory pathways are still poorly understood. This study investigated the neural responses in the thalamic ventroposteriolateral (VPL) nucleus after phrenic afferent stimulation in cats and rats. Activation of VPL neurons was observed after electrical stimulation of the contralateral phrenic nerve. Direct mechanical stimulation of the diaphragm also elicited increased activity in the same VPL neurons that were activated by electrical stimulation of the phrenic nerve. Some VPL neurons responded to both phrenic afferent stimulation and shoulder probing. In rats, VPL neurons activated by inspiratory occlusion also responded to stimulation on phrenic afferents. These results demonstrate that phrenic afferents can reach the VPL thalamus under physiological conditions and support the hypothesis that the thalamic VPL nucleus functions as a relay for the conduction of proprioceptive information from the diaphragm to the contralateral somatosensory cortex.

Different effects of halothane on diaphragm and hindlimb muscle in rats

1987 ◽  
Vol 63 (5) ◽  
pp. 1757-1762 ◽  
Author(s):  
B. Dureuil ◽  
N. Viires ◽  
Y. Nivoche ◽  
M. Fiks ◽  
R. Pariente ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Phrenic Nerve ◽  
Muscle Function ◽  
Negative Inotropic Effect ◽  
Abdominal Pressure ◽  
Mechanically Ventilated ◽  
Diaphragmatic Muscle ◽  
Hindlimb Muscle ◽  
Supramaximal Stimulation ◽  
Stimulation Of

The effects of halothane administration on diaphragm and tibialis anterior (TA) muscle were investigated in 30 anesthetized mechanically ventilated rats. Diaphragmatic strength was assessed in 17 rats by measuring the abdominal pressure (Pab) generated during supramaximal stimulation of the intramuscular phrenic nerve endings at frequencies of 0.5, 30, and 100 Hz. Halothane was administered during 30 min at a constant minimum alveolar concentration (MAC): 0.5, 1, and 1.5 MAC in three groups of five rats. For each MAC, Pab was significantly reduced for all frequencies of stimulation except at 100 Hz during 0.5 MAC halothane exposure. The effects of halothane (0.5, 1, and 1.5 MAC) on diaphragmatic neuromuscular transmission were assessed in five other rats by measuring the integrated electrical activity of the diaphragm (Edi) during electrical stimulation of the phrenic nerve. No change in Edi was observed during halothane exposure. In five other rats TA contraction was studied by measuring the strength of isometric contraction of the muscle during electrical stimulation of its nerve supply at different frequencies (0.5, 30, and 100 Hz). Muscle function was unchanged during administration of halothane in a cumulative fashion from 0.5 to 1.5 MAC. These results demonstrate that halothane does not affect hindlimb muscle function, whereas it had a direct negative inotropic effect on rat diaphragmatic muscle.

Central GABAergic mechanisms are involved in apnea induced by SLN stimulation in piglets

2001 ◽  
Vol 90 (4) ◽  
pp. 1570-1576 ◽  
Author(s):  
Jalal M. Abu-Shaweesh ◽  
Ismail A. Dreshaj ◽  
Musa A. Haxhiu ◽  
Richard J. Martin
Keyword(s):  
Electrical Stimulation ◽  
Phrenic Nerve ◽  
Superior Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
Receptor Blocker ◽  
Inspiratory Time ◽  
Before And After ◽  
Four Levels ◽  
Stimulation Of

Stimulation of the superior laryngeal nerve (SLN) results in apnea in animals of different species, the mechanism of which is not known. We studied the effect of the GABAA receptor blocker bicuculline, given intravenously and intracisternally, on apnea induced by SLN stimulation. Eighteen 5- to 10-day-old piglets were studied: bicuculline was administered intravenously to nine animals and intracisternally to nine animals. The animals were anesthetized and then decerebrated, vagotomized, ventilated, and paralyzed. The phrenic nerve responses to four levels of electrical SLN stimulation were measured before and after bicuculline. SLN stimulation caused a significant decrease in phrenic nerve amplitude, phrenic nerve frequency, minute phrenic activity, and inspiratory time ( P < 0.01) that was proportional to the level of electrical stimulation. Increased levels of stimulation were more likely to induce apnea during stimulation that often persisted beyond cessation of the stimulus. Bicuculline, administered intravenously or intracisternally, decreased the SLN stimulation-induced decrease in phrenic nerve amplitude, minute phrenic activity, and phrenic nerve frequency ( P < 0.05). Bicuculline also reduced SLN-induced apnea and duration of poststimulation apnea ( P < 0.05). We conclude that centrally mediated GABAergic pathways are involved in laryngeal stimulation-induced apnea.

Diaphragm Pacing as an Adjunct in Respiratory Insufficiency

Neurosurgery ◽  
1978 ◽  
Vol 2 (1) ◽  
pp. 43-46 ◽  
Author(s):  
Ronald F. Young
Keyword(s):  
Electrical Stimulation ◽  
Case Report ◽  
Respiratory Insufficiency ◽  
Phrenic Nerve ◽  
Social Problems ◽  
Potential Usefulness ◽  
Mechanical Ventilator ◽  
Diaphragm Pacing ◽  
Neurosurgical Patients ◽  
Stimulation Of

Abstract Most neurosurgical patients with permanent partial or complete respiratory insufficiency are managed with a mechanical ventilator and tracheostomy. This method presents many medical, technical, emotional, and social problems. A case report is presented that illustrates the potential usefulness of electrical stimulation of the phrenic nerve (“diaphragm pacing”) as an alternate method of therapy for respiratory insufficiency. This paper outlines the indications for, methods of, and problems with such a system and is intended to make its availability more widely appreciated among neurosurgeons.

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