Diaphragmatic pressures: transvenous vs. direct phrenic nerve stimulation

J Appl Physiol (1985). 1985 Jul;59(1):269-73. doi: 10.1152/jappl.1985.59.1.269.

Abstract

Diaphragmatic force, determined by stimulating the phrenic nerve while simultaneously measuring the pressures in a closed respiratory system, was assessed in five anesthetized dogs over a 5-h period to evaluate the inherent variability of this technique. Transdiaphragmatic pressure (Pdi) was measured at functional residual capacity during stimulation (120 Hz, 0.2-ms duration) of one phrenic nerve by either direct phrenic nerve stimulation (DPNS) or transvenous phrenic nerve stimulation (TPNS). An analysis of variance showed no significant (P greater than 0.50) change during the 5-h period. There was a significant correlation (r = 0.94, P less than 0.001) between Pdi obtained by TPNS and that obtained by DPNS. It is concluded that either DPNS or TPNS can be used to evaluate diaphragmatic strength over a 5-h period and that TPNS can be used in lieu of DPNS.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Catheterization
  • Diaphragm / physiology*
  • Dogs
  • Electric Stimulation / methods*
  • Electrodes
  • Male
  • Phrenic Nerve / physiology*
  • Physiology / instrumentation
  • Pressure
  • Trachea / physiology
  • Veins