机械呼吸患者的皮肤过渡电动腹膜刺激:一项随机化研究
Clément Medrinal1,2, Margaux Machefert3,4, Bouchra Lamia5,6,7,8
1Université Paris-Saclay, UVSQ, Erphan, 78000, Versailles, France. medrinal.clement.mk@gmail.com.
Critical care (London, England)
|August 30, 2023
概括
在机械通风患者中,通过皮肤进行隔膜电刺激 (TEDS) 并未预防隔膜功能障碍或改善呼吸肌肉强度. 需要进一步的研究来探索膜支的替代方法.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统生理学 呼吸系统生理学
- 康复医学 康复医学 康复医学
背景情况:
- 机械通风带来隔膜功能障碍的风险.
- 只有有限的有效方法可以减轻这种风险.
- 隔膜的穿皮电刺激 (TEDS) 是一种新兴的干预措施.
研究的目的:
- 评估每日TEDS是否可以预防机械通风断奶患者的隔膜功能障碍.
- 评估TEDS对呼吸道肌肉强度和输出管成功的影响.
主要方法:
- 一个受控试验比较每日TEDS与假刺激.
- 在自发呼吸试验期间对隔膜加厚部分的超声波测量.
- 评估最大吸入压力 (MIP) 和峰值咳流量 (PEF).
主要成果:
- 在TEDS和虚假组之间,隔膜加厚率没有显著差异 (67%与54%对比).
- 在两组中,最大吸气压和咳峰值流量都相似.
- 在TEDS和虚假组之间,输出管失败率没有差异.
结论:
- 在这个患者队列中,TEDS并没有预防腹膜功能障碍.
- TEDS并没有提高灵感肌肉的强度.
- 目前的证据不支持TEDS在机械通风断奶期间预防隔膜功能障碍.
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