Monitoring the electric activity of the diaphragm during noninvasive positive pressure ventilation: a case report.

ABSTRACT:

Background

In patients with post-extubation respiratory distress, delayed reintubation may worsen clinical outcomes. Objective measures of extubation failure at the bedside are lacking, therefore clinical parameters are currently used to guide the need of reintubation. Electrical activity of the diaphragm (EAdi) provides clinicians with valuable, objective information about respiratory drive and could be used to monitor respiratory effort.

Case presentation

We describe the case of a patient with Chronic Obstructive Pulmonary Disease (COPD), from whom we recorded EAdi during four different ventilatory conditions: 1) invasive mechanical ventilation, 2) spontaneous breathing trial (SBT), 3) unassisted spontaneous breathing, and 4) Noninvasive Positive Pressure Ventilation (NPPV

SUBMITTER: Diniz-Silva F 

PROVIDER: S-EPMC5473981 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature