Transcutaneous electrical diaphragmatic stimulation reduces the duration of invasive mechanical ventilation in patients with cervical spinal cord injury: retrospective case series.

Autor:	Duarte GL; Intensive Care Unit, Campinas State University-UNICAMP, Campinas, SP, Brazil. gregoryluiduarte@hotmail.com.; Department of Surgery, Campinas State University-UNICAMP, Campinas, SP, Brazil. gregoryluiduarte@hotmail.com., Bethiol AL; Hospital Sancta Maggiore de Pinheiros, São Paulo, SP, Brazil.; Hospital do Coração, São Paulo, SP, Brazil., Ratti LDSR; Clinical Hospital of Campinas State University, Campinas, SP, Brazil., Franco G; Department of Statistics, Campinas State University-UNICAMP, Campinas, SP, Brazil., Moreno R; Neurocritical and Trauma Intensive Care Unit, Hospital de São José, Centro Hospitalar Universitário de Lisboa Central, Nova Medical School, Lisbon, Portugal., Tonella RM; Department of Physiotherapy, School of Physical Education, Physiotherapy and Occupational Therapy-EEFFTO-Federal University of Minas Gerais-UFMG, Belo Horizonte, Minas Gerais, Brazil., Falcão ALE; Department of Surgery, School of Medical Sciences, Campinas State University-UNICAMP, Campinas, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Spinal cord series and cases [Spinal Cord Ser Cases] 2021 Apr 09; Vol. 7 (1), pp. 26. Date of Electronic Publication: 2021 Apr 09.
DOI:	10.1038/s41394-021-00396-4
Abstrakt:	Study Design: Retrospective case series. Objectives: To compare individuals with cervical spinal cord injury (SCI) submitted to transcutaneous electrical diaphragmatic stimulation (TEDS) or a standard weaning protocol (SWP) according to the following variables: invasive mechanical ventilation (IMV) time, ventilator weaning time, intensive care unit (ICU) length of stay, and overall hospital length of stay. Settings: Tertiary university hospital. Clinical Hospital of Campinas State University-UNICAMP-Campinas (SP), Brazil. Methods: Retrospective case study investigating ICU patients submitted to tracheostomy due to cervical SCI at a tertiary university hospital (Clinical Hospital of Campinas State University, Brazil). Data were extracted from medical records of patients seen between January 2007 and December 2016. According to medical records, four patients were submitted to TEDS and six to a SWP. Provision of training to patients in the TEDS group was based on consensus medical decision, preference of the physical therapy team and availability of electrostimulation equipment in the ICU. Results: Total IMV time in the TEDS and the SWP group was 33 ± 15 and 60 ± 22 days, respectively. Length of stay in ICU in the TEDS and the SWP group was 31 ± 18 and 63 ± 45 days, respectively. Conclusion: TEDS appears to influence the duration of IMV as well as the length of stay in ICU. This physiotherapeutic intervention may be a potentially promising tool for treatment of patients with SCI. However, randomized clinical trials are warranted to support this assumption.
Databáze:	MEDLINE
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