Neuroanesthesia & neurocritical care
Pharyngeal Electrical Stimulation prior to extubation – Reduction of extubation failure rate in acute stroke patients?
Authors' conclusion
In orally intubated and mechanically ventilated stroke patients at high risk of severe dysphagia, PES may improve swallowing function, reduce extubation failure risk and decrease time from extubation to discharge.
Study context
- Population
- Orally intubated, mechanically ventilated ICU stroke patients at high risk of severe dysphagia (DEFISS risk score)matched 1:1
- Exposure
- PES before extubation vs historical matched control
- PESn = Thirty-two
- Outcome
- Extubation failure (reintubation)
- Follow-up
- 72 h
Methodological details1:1 matched historical control group
- 1:1 matched historical control group
Main finding
As reported in the abstract
Reintubation rate · within 72 h
P = 0.032
Observational data: associations, not effects.
Further findings
Pulmonary infections after extubation · not significant
P = 0.133
Time from extubation to discharge · significantly shorter after PES
P = 0.003
| Outcome | PES | Control | P value |
|---|---|---|---|
| Swallowing function (FEDSS) post-extubationSignificantly lower in PES | 4.31 ± 1.53 | 5.03 ± 1.28 | P = 0.047 |
Original publication
Pharyngeal Electrical Stimulation prior to extubation – Reduction of extubation failure rate in acute stroke patients? J Crit Care. Published 5 April 2024. doi:10.
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