Respiratory failure & ventilation

The depth of neuromuscular blockade is not related to chest wall elastance and respiratory mechanics in moderate to severe acute respiratory distress syndrome patients. A prospective cohort study

J Crit CarePublished Prospective cohort study

Authors' conclusion

In ARDS, the relaxation of the respiratory muscles seems to be independent of the NMB level.

Study context

Population
Moderate to severe ARDS patientseach analysed at both neuromuscular blockade (NMB) levels
Participants
33 participants
Exposure
Deep NMB vs intermediate NMB
Outcome
Chest wall elastance (ELCW) according to NMB level
Methodological detailswithin-patient comparison
  • Within-patient comparison

Main finding

As reported in the abstract

Chest wall elastance (ELCW)

P = 0.36

Observational data: associations, not effects.

Further findings

Inspiratory oesophageal pressure (Pesinsp)

P = 0.12

OutcomeTOFC = 0TOFC >0P value
Expiratory oesophageal pressure (Pesexp)8 (range 5–9.5) cmH2O— not stated in the abstractP = 0.16

— not stated in the abstract

Original publication

The depth of neuromuscular blockade is not related to chest wall elastance and respiratory mechanics in moderate to severe acute respiratory distress syndrome patients. A prospective cohort study. J Crit Care. Published 22 December 2023. doi:10.1016/j.jcrc.2023.154505

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.