Measuring Expiratory Diaphragm Activity: An Electrifying Tool to Guide Positive End-Expiratory Pressure Strategy in Critically Ill Children?*

Editor’s Choice Articles for March

“…Regarding bronchiolitis respiratory support, by way of recalling what was published in 2023, we had a systematic review and network meta-analyses on HFNO and other NIV therapies in bronchiolitis (17); two quality improvement studies of “protocolized NIV” in bronchiolitis (18–20); and a multicenter, retrospective study of variations in early PICU management during IMV (21, 22). Regarding diaphragmatic electrophysiology, in 2021 PCCM had a descriptive study of transcutaneous electromyography (23, 24), and in 2023 there was a retrospective report about the range in Edi measurements in the PICU population (25, 26) from the current researchers in Canada (3). Add to all this material the editorial that accompanies the new report (4).…”

Editor’s Choice Articles for June

“…The authors also provide a useful focus on bronchiolitis. The accompanying editorial takes us through the underlying respiratory physiology of work of breathing and addresses the question of whether the Edi signal is helpful to PICU clinicians in guiding ventilator strategies, particularly during the use of positive end-expiratory pressure (17).…”