Bibliographic Details
| Title: |
Predicting extubation readiness by monitoring the electrical activity of the diaphragm after prolonged mechanical ventilation: a pediatric case report |
| Authors: |
Yusuke Naito, Yoshiyuki Shimizu, Takeshi Hatachi, Yu Inata, Kazue Moon, Kazuya Tachibana, Muneyuki Takeuchi |
| Source: |
JA Clinical Reports, Vol 4, Iss 1, Pp 1-4 (2018) |
| Publisher Information: |
SpringerOpen, 2018. |
| Publication Year: |
2018 |
| Collection: |
LCC:Anesthesiology
LCC:Medical emergencies. Critical care. Intensive care. First aid |
| Subject Terms: |
Electrical activity of the diaphragm (Edi), Neuroventilatory efficiency (NVE), Diaphragm function, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| More Details: |
Abstract Background The intensity of the electrical activity of the diaphragm (Edi) correlates with inspiratory effort. The ratio of tidal volume to the Edi is known as neuroventilatory efficiency (NVE) and is used as an index for ventilation efficiency. Here, we present a case showing that Edi and NVE may be effective parameters to predict successful extubation. Case presentation A 6-month-old female infant required prolonged mechanical ventilation after cardiac surgery. Fifty-two days after surgery, her trachea was extubated but required reintubation. Edi monitoring was initiated to assess diaphragm function. The Edi was > 70 mcV just after the reintubation, and her NVE was 1.0 mL/mcV, but gradually decreased. On day 59, her Edi values during the spontaneous breathing trials were 13 mcV with the improvement of NVE (2.5 mL/mcV) and her trachea was extubated without complications. Conclusions The Edi and NVE were valuable for deciding the extubation readiness in a long-term mechanically ventilated patient. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2363-9024 |
| Relation: |
http://link.springer.com/article/10.1186/s40981-018-0213-y; https://doaj.org/toc/2363-9024 |
| DOI: |
10.1186/s40981-018-0213-y |
| Access URL: |
https://doaj.org/article/f4b2cbd04bae4ab8b41f1d40a78dc543 |
| Accession Number: |
edsdoj.f4b2cbd04bae4ab8b41f1d40a78dc543 |
| Database: |
Directory of Open Access Journals |
