Mechanical Ventilation
Conditions
Keywords
electrical stimulation, diaphragmatic, weaning
Brief summary
Muscle atrophy and diaphragm dysfunction are common with prolonged mechanical ventilation (PMV). Electrical stimulation has been shown to be beneficial in severe chronic heart failure and chronic obstructive pulmonary disease. However, its effect on PMV is unclear. This study examined the effects of transcutaneous electrical diaphragmatic stimulation (TEDS) on respiratory muscle strength and weaning outcomes in patients with PMV.
Detailed description
Subjects on ventilation for ≥21 days were randomly assigned to TEDS or control groups. The TEDS group received muscle electrical stimulation for 30 min/session/day throughout the intervention. Weaning parameters and respiratory muscle strength (Pimax, Pemax) were assessed. The hospitalization outcome, including weaning rate and length of stay, was followed up until discharge.
Interventions
An non-invasive intervention. During the intervention, the electrode was placed on the skin stimulated muscle.
Sponsors
Study design
Eligibility
Inclusion criteria
1. age ≥ 20 years; 2. MV for \> 6 h/day for \> 21 days; 3. medical stability
Exclusion criteria
1. acute lung or systemic infection, 2. hemodynamic instability, 3. abdominal distention, 4. pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| breathing frequency | through study completion, an average of 2 weeks | The pulmonary function as assessed by the measurement of respiratory rate |
| Pimax | through study completion, an average of 2 weeks | The pulmonary function as assessed by the measurement of max inspiratory pressure |
| Vt | through study completion, an average of 2 weeks | The pulmonary function as assessed by the measurement of tidal volume |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| RCC days | through study completion, an average of 6 weeks | The total days that participants stay in the respiratory care center |
| weaning rate | through study completion, an average of 6 weeks | the status of ventilator use |
Countries
Taiwan