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Failed Experiment ReportOpen accessMedical emergencies. Critical care. Intensive care. First aid

Estimation of the diaphragm neuromuscular efficiency index in mechanically ventilated critically ill patients

Diana Jansen, Annemijn H. Jonkman, Lisanne Roesthuis et al. · 2018 · Critical Care

Abstract Background Diaphragm dysfunction develops frequently in ventilated intensive care unit (ICU) patients. Both disuse atrophy (ventilator over-assist) and high respiratory muscle effort (ventilator under-assist) seem to be involved. A strong rationale exists to monitor diaphragm effort and titrate support to maintain respiratory muscle activity within physiological limits. Diaphragm electromyography is used to quantify breathing effort and has been correlated with transdiaphragmatic pressure and esophageal pressure. The neuromuscular efficiency index (NME) can be used to estimate inspira

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