AboutKidsHealth

 

 

How to use diaphragmatic pacing with your childHHow to use diaphragmatic pacing with your childHow to use diaphragmatic pacing with your childEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z

 

 

How to use diaphragmatic pacing with your child2973.00000000000How to use diaphragmatic pacing with your childHow to use diaphragmatic pacing with your childHEnglishRespiratoryChild (0-12 years);Teen (13-18 years)Lungs;TracheaRespiratory systemNon-drug treatmentCaregivers Adult (19+) Hospital healthcare providersNA2017-06-29T04:00:00ZReshma Amin, MD, FRCPC, MSc;Faiza Syed, BHSc, RRT;Tuyen Tran, RRT000Flat ContentHealth A-Z<h2>How do I use diaphragmatic pacing with my child?</h2><p> <a href="/Article?contentid=2972&language=English">Diaphragmatic pacing​</a> uses a diaphragmatic pacing unit. This includes:</p><ul><li>electrodes</li><li>receivers</li><li>external antennae</li><li>an external transmitter.</li></ul><ol><li>To start pacing with your child based on the settings from your child's healthcare team, first feel for the receivers underneath the skin.</li><li>Place the antennae over the receivers (they are colour-coded for each side).</li><li>Make sure you place each antenna on the correct side of the transmitter. This is important because many children have different settings for each side.</li><li>Tape the antennae into place.</li><li>Turn each side of the transmitter on using the switch for each side.</li></ol><h2>What do I do if the diaphragmatic pacer stops working?</h2><ol><li>There are two batteries on the transmitter (one for each side). Make sure that you have enough battery power as shown by the battery indicator light on your child’s transmitter. Each side has its own indicator light.</li><li>Try pacing each side of the diaphragm individually to see if the problem is unilateral (on one side) or bilateral (on both sides).</li></ol><h3>If there is a unilateral (one-sided) malfunction</h3><ul><li>Check the antenna wire for any obvious breaks and check the antenna indicator lights.</li><li>Make sure the antenna is properly positioned over the internal receiver.</li><li>Use the antenna from the properly functioning side on the malfunctioning side (if this works, you need to replace the antenna; if it does not work, there is a problem with the transmitter circuit).</li><li>Make sure that the tidal volume setting is correct.</li><li>If you cannot fix the problem immediately, use a pulse oximeter to see if your child can get enough oxygen with one-sided pacing.</li><li>Contact your child's pacing team.</li></ul><h3>If there is bilateral (two-sided) malfunction</h3><ul><li>Check for any trauma to the external transmitter box.</li><li>Check that there is adequate battery power and ensure that the antennae are appropriately placed over the internal receivers (as above).</li><li>Make sure that the tidal volume setting is correct (the dials sometimes move on their own if not taped in place).</li><li>If you cannot fix the problem immediately, use a back-up method of ventilation (for example a bi-level positive airway pressure (BiPAP) ventilator).</li></ul><p>Because each side of the pacer is operated by an independent electrical circuit, it is unlikely that both sides will malfunction at the same time. Sometimes pacing with one side is enough to maintain ventilation.</p><p></p><div class="caution"><h3>Precautions</h3><ul><li>If neither side of the pacer is working and you do not have a back-up form of ventilation at home, go to the nearest hospital (where your child can be ventilated).</li><li>The transmitter unit is not waterproof, so it may not work if it gets wet.</li><li>Children with diaphragmatic pacers cannot go swimming.</li><li>Children with diaphragmatic pacers will not be able to have MRI scans.​​</li></ul></div><p></p> <a class="btn btn-primary" href="https://www.aboutkidshealth.ca/trachvent">Return to trach-vent learning hub</a> <br>How to use diaphragmatic pacing with your childTruehttps://www.aboutkidshealth.ca/Article?contentid=2974&language=Englishhttps://www.aboutkidshealth.ca/Article?contentid=2972&language=English

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.