2021
DOI: 10.1038/s41394-021-00396-4
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Transcutaneous electrical diaphragmatic stimulation reduces the duration of invasive mechanical ventilation in patients with cervical spinal cord injury: retrospective case series

Abstract: 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.… Show more

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Cited by 15 publications
(21 citation statements)
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“…Interestingly, a recent study conducted by Duarte et al [ 28 ] suggested that TEDS influences the duration of IMV as well as the length of stay in the ICU in patients with spinal cord injury (SCI). Unlike the retrospective case series evaluated by these authors ( n = 10), our study is an experimental clinical trial evaluating the influence of TEDS on immediate hemodynamic responses to determine the safety of the procedure in critically ill elderly individuals (not only patients with SCI).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Interestingly, a recent study conducted by Duarte et al [ 28 ] suggested that TEDS influences the duration of IMV as well as the length of stay in the ICU in patients with spinal cord injury (SCI). Unlike the retrospective case series evaluated by these authors ( n = 10), our study is an experimental clinical trial evaluating the influence of TEDS on immediate hemodynamic responses to determine the safety of the procedure in critically ill elderly individuals (not only patients with SCI).…”
Section: Discussionmentioning
confidence: 99%
“…Unlike the retrospective case series evaluated by these authors ( n = 10), our study is an experimental clinical trial evaluating the influence of TEDS on immediate hemodynamic responses to determine the safety of the procedure in critically ill elderly individuals (not only patients with SCI). Additionally, Duarte et al [ 28 ] proposed a comparison between TEDS and the standard weaning protocol in neurological patients who were already able to voluntarily contract their respiratory muscles. In contrast, we analyzed the application of TEDS in patients initially without ventilatory drive, thus allowing identification of new evidence to assess the impact of TEDS earlier, which is important because critical patients newly admitted to the ICU receive sedative and analgesic agents, justifying the decrease in the ventilatory drive and contributing to ICU-AW [ 29 ].…”
Section: Discussionmentioning
confidence: 99%
“…As a result, 332 records were excluded, and 31 studies were subsequently screened in full text. Lastly, 14 studies [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53] were included in the present systematic review. Figure 1 shows further details about the article selection process through the PRISMA flow diagram.…”
Section: Study Characteristicsmentioning
confidence: 99%
“…Transcutaneous electrical diaphragmatic stimulation (TEDS) is aimed at activating and training of intact muscle fibers that elicit diaphragmatic contractions. TEDS prevents muscular hypotrophy, including in patients with neuromuscular diseases and those dependent on artificial lung ventilation [ 7 , 8 ].…”
Section: Electrical Stimulation Of Respiratory Musclesmentioning
confidence: 99%
“…In a retrospective study, there were analyzed the 2007–2016 medical records of intensive care patients with cervical SCI [ 7 ]. Out of 13 tracheostomized patients, 4 received a 7-week course of TEDS (30 Hz, 60 mA, pulse duration 1 ms), 6 were run along a standard ALV protocol, while the remaining patients were excluded from the analysis due to data incompleteness or death.…”
Section: Electrical Stimulation Of Respiratory Musclesmentioning
confidence: 99%