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TEDS in Prolonged Mechanical Ventilation

Effect of Transcutaneous Electrical Diaphragmatic Stimulation in Prolonged Mechanical Ventilation

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04741724
Acronym
TEDS
Enrollment
59
Registered
2021-02-05
Start date
2017-07-01
Completion date
2019-03-01
Last updated
2023-08-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mechanical Ventilation

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

DEVICETEDS

An non-invasive intervention. During the intervention, the electrode was placed on the skin stimulated muscle.

Sponsors

Chang Gung University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to 100 Years
Healthy volunteers
No

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

MeasureTime frameDescription
breathing frequencythrough study completion, an average of 2 weeksThe pulmonary function as assessed by the measurement of respiratory rate
Pimaxthrough study completion, an average of 2 weeksThe pulmonary function as assessed by the measurement of max inspiratory pressure
Vtthrough study completion, an average of 2 weeksThe pulmonary function as assessed by the measurement of tidal volume

Secondary

MeasureTime frameDescription
RCC daysthrough study completion, an average of 6 weeksThe total days that participants stay in the respiratory care center
weaning ratethrough study completion, an average of 6 weeksthe status of ventilator use

Countries

Taiwan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026