Estimation of the diaphragm neuromuscular efficiency index in mechanically ventilated critically ill patients
Diana Jansen; Annemijn H. Jonkman; Lisanne Roesthuis; Suvarna Gadgil; Johannes G. van der Hoeven; Gert-Jan J. Scheffer; Armand Girbes; Jonne Doorduin · 2018 · Critical Care
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Abstract
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
Abstract by Diana Jansen; Annemijn H. Jonkman; Lisanne Roesthuis; Suvarna Gadgil; Johannes G. van der Hoeven; Gert-Jan J. Scheffer; Armand Girbes; Jonne Doorduin, Critical Care (2018) — licensed CC BY 4.0.
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Metadata source: DOAJ · DOI 10.1186/s13054-018-2172-0