{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T10:04:33Z","timestamp":1747217073379,"version":"3.40.5"},"reference-count":0,"publisher":"Sociedad Chilena de Pediatria","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Chil Pediatr"],"abstract":"<jats:p>El marcapasos diafragm\u00e1tico permite reducir o eliminar la necesidad de ventilaci\u00f3n mec\u00e1nica en pacientes con insuficiencia respiratoria cr\u00f3nica que conservan el eje nervio fr\u00e9nico-diafragma intacto, siempre que no presenten enfermedad pulmonar intr\u00ednseca. Aunque su implantaci\u00f3n ha sido practicada por d\u00e9cadas, su uso no est\u00e1 ampliamente difundido, y existe poca literatura publicada al respecto, la mayor\u00eda relacionada con lesi\u00f3n medular alta y s\u00edndrome de hipoventilaci\u00f3n central cong\u00e9nito.Objetivo: Describir una experiencia de implantaci\u00f3n de marcapasos diafragm\u00e1tico en paciente pedi\u00e1trico con s\u00edndrome de hipoventilaci\u00f3n central adquirido.Caso Cl\u00ednico: Paciente femenino con s\u00edndrome de hipoventilaci\u00f3n central secundario a lesi\u00f3n isqu\u00e9mica de tronco cerebral como resultado de disfunci\u00f3n de v\u00e1lvula de derivaci\u00f3n ventr\u00edculo peritoneal, motivo por el cual durante 5 a\u00f1os se mantuvo con asistencia de ventilaci\u00f3n mec\u00e1nica intrahospitalaria. A los 7 a\u00f1os de edad se implant\u00f3 marcapasos diafragm\u00e1tico mediante cirug\u00eda toracosc\u00f3pica, lo que permiti\u00f3 posterior a un periodo de rehabilitaci\u00f3n y acondicionamiento respiratorio el destete de la ventilaci\u00f3n mec\u00e1nica y el egreso hospitalario.Conclusiones: El marcapasos diafragm\u00e1tico es una opci\u00f3n factible, potencialmente segura y costo efectiva para disminuir o eliminar la dependencia de ventilaci\u00f3n mec\u00e1nica y mejorar la calidad de vida en pacientes con s\u00edndrome de hipoventilaci\u00f3n central adquirido.<\/jats:p>","DOI":"10.32641\/rchped.v91i2.1144","type":"journal-article","created":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T16:40:47Z","timestamp":1588005647000},"page":"255","source":"Crossref","is-referenced-by-count":1,"title":["Marcapasos diafragm\u00e1tico en paciente pedi\u00e1trico con s\u00edndrome de Hipoventilaci\u00f3n Central Adquirido"],"prefix":"10.32641","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8052-6309","authenticated-orcid":false,"given":"Javier","family":"Varela O.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"German","family":"Sep\u00falveda I.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Sep\u00falveda C.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato","family":"Acu\u00f1a L.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo","family":"Pizarro T.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viviana","family":"Maldonado U.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra","family":"Alvarado G.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17639","published-online":{"date-parts":[[2020,4,22]]},"container-title":["Revista Chilena de Pediatr\u00eda"],"original-title":[],"link":[{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/viewFile\/1144\/1494","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/viewFile\/1144\/1494","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T18:28:15Z","timestamp":1618252095000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/view\/1144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,22]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,4,22]]}},"URL":"https:\/\/doi.org\/10.32641\/rchped.v91i2.1144","relation":{},"ISSN":["0370-4106","0370-4106"],"issn-type":[{"type":"electronic","value":"0370-4106"},{"type":"print","value":"0370-4106"}],"subject":[],"published":{"date-parts":[[2020,4,22]]}}}