Respiratory failure & ventilation

Transcutaneous electrical diaphragmatic stimulation in mechanically ventilated patients: a randomised study

Crit CarePublished Randomised controlled trial

Primary result · Diaphragm thickening fraction > 30% at the SBTResult — go to the resultOdds ratio 1.55 95% CI 0.47–5.1

Authors' conclusion

TEDS did not prevent diaphragm dysfunction or improve inspiratory muscle strength in mechanically ventilated patients.

Study context

Population
Mechanically ventilated ICU patients during weaning
Participants
66 participants
Comparison
Daily active TEDS vs sham stimulation
Primary endpoint
Diaphragm dysfunction: ultrasound diaphragm thickening fraction > 30% during SBT
Methodological detailssham-controlled, 1:1 randomisation, Mean duration of mechanical ventilation 10 ± 6.8 days
  • Sham-controlled
  • 1:1 randomisation
  • Mean duration of mechanical ventilation 10 ± 6.8 days

Primary result

Diaphragm thickening fraction > 30% at the SBT

Odds ratio

1.55

95% CI 0.47–5.1

P = 0.47

By group

TEDS vs Sham
OR 1.55 (95% CI 0.47–5.1); P = 0.47

As reported in the abstract

Further findings

Maximal inspiratory muscle pressure (MIP) · similar

P = 0.469

Peak cough flow (PEF) · similar

P = 0.83

Extubation failure

Rate of extubation failure not different between groups

Original publication

Transcutaneous electrical diaphragmatic stimulation in mechanically ventilated patients: a randomised study. Crit Care. Published 30 August 2023. doi:10.1186/s13054-023-04597-1

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