Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patients

Weaning patients from mechanical ventilation is crucial in the management of acute respiratory failure (ARF). Spontaneous breathing trials (SBT) are used to assess readiness for extubation, but extubation failure remains a challenge. Diaphragmatic function, measured by electrical activity of the dia...

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Autores: Parrilla-Gómez, Francisco José|||0000-0002-9770-2759, Roche-Campo, Ferran, Italiano, Stefano|||0000-0001-7775-284X, Parrilla-Gómez, Andrés, Morán Chorro, Indalecio|||0000-0001-5090-5260, Mancebo Cortes, Jordi|||0000-0003-3308-5410, Maraffi, Tommaso|||0000-0002-5287-6704
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:307363
Acceso en línea:https://ddd.uab.cat/record/307363
https://dx.doi.org/urn:doi:10.1186/s13054-024-05092-x
Access Level:acceso abierto
Palabra clave:Weaning
Extubation
Electrical activity of the diaphragm
Mechanical ventilation
Spontaneous breathing trial
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spelling Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patientsParrilla-Gómez, Francisco José|||0000-0002-9770-2759Roche-Campo, FerranItaliano, Stefano|||0000-0001-7775-284XParrilla-Gómez, AndrésMorán Chorro, Indalecio|||0000-0001-5090-5260Mancebo Cortes, Jordi|||0000-0003-3308-5410Maraffi, Tommaso|||0000-0002-5287-6704WeaningExtubationElectrical activity of the diaphragmMechanical ventilationSpontaneous breathing trialWeaning patients from mechanical ventilation is crucial in the management of acute respiratory failure (ARF). Spontaneous breathing trials (SBT) are used to assess readiness for extubation, but extubation failure remains a challenge. Diaphragmatic function, measured by electrical activity of the diaphragm (EAdi), may provide insights into weaning outcomes. This prospective, observational study included difficult-to-wean patients undergoing invasive mechanical ventilation. EAdi was recorded before, during, and after extubation. Patients were categorized into extubation success and failure groups based on reintubation within 48 h. Statistical analysis assessed EAdi patterns and predictive value. Thirty-one patients were analyzed, with six experiencing extubation failure. Overall, EAdi increased significantly between the phases before the SBT, the SBT and post-extubation period, up to 24 h (p < 0.001). EAdi values were higher in the extubation failure group during SBT (p = 0.01). An EAdi. 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/307363https://dx.doi.org/urn:doi:10.1186/s13054-024-05092-xreponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3073632026-06-06T12:50:31Z
dc.title.none.fl_str_mv Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patients
title Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patients
spellingShingle Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patients
Parrilla-Gómez, Francisco José|||0000-0002-9770-2759
Weaning
Extubation
Electrical activity of the diaphragm
Mechanical ventilation
Spontaneous breathing trial
title_short Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patients
title_full Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patients
title_fullStr Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patients
title_full_unstemmed Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patients
title_sort Time course of electrical activity of the diaphragm (EAdi) in the peri extubation period and its role as predictor of extubation failure in difficult to wean patients
dc.creator.none.fl_str_mv Parrilla-Gómez, Francisco José|||0000-0002-9770-2759
Roche-Campo, Ferran
Italiano, Stefano|||0000-0001-7775-284X
Parrilla-Gómez, Andrés
Morán Chorro, Indalecio|||0000-0001-5090-5260
Mancebo Cortes, Jordi|||0000-0003-3308-5410
Maraffi, Tommaso|||0000-0002-5287-6704
author Parrilla-Gómez, Francisco José|||0000-0002-9770-2759
author_facet Parrilla-Gómez, Francisco José|||0000-0002-9770-2759
Roche-Campo, Ferran
Italiano, Stefano|||0000-0001-7775-284X
Parrilla-Gómez, Andrés
Morán Chorro, Indalecio|||0000-0001-5090-5260
Mancebo Cortes, Jordi|||0000-0003-3308-5410
Maraffi, Tommaso|||0000-0002-5287-6704
author_role author
author2 Roche-Campo, Ferran
Italiano, Stefano|||0000-0001-7775-284X
Parrilla-Gómez, Andrés
Morán Chorro, Indalecio|||0000-0001-5090-5260
Mancebo Cortes, Jordi|||0000-0003-3308-5410
Maraffi, Tommaso|||0000-0002-5287-6704
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Weaning
Extubation
Electrical activity of the diaphragm
Mechanical ventilation
Spontaneous breathing trial
topic Weaning
Extubation
Electrical activity of the diaphragm
Mechanical ventilation
Spontaneous breathing trial
description Weaning patients from mechanical ventilation is crucial in the management of acute respiratory failure (ARF). Spontaneous breathing trials (SBT) are used to assess readiness for extubation, but extubation failure remains a challenge. Diaphragmatic function, measured by electrical activity of the diaphragm (EAdi), may provide insights into weaning outcomes. This prospective, observational study included difficult-to-wean patients undergoing invasive mechanical ventilation. EAdi was recorded before, during, and after extubation. Patients were categorized into extubation success and failure groups based on reintubation within 48 h. Statistical analysis assessed EAdi patterns and predictive value. Thirty-one patients were analyzed, with six experiencing extubation failure. Overall, EAdi increased significantly between the phases before the SBT, the SBT and post-extubation period, up to 24 h (p < 0.001). EAdi values were higher in the extubation failure group during SBT (p = 0.01). An EAdi.
publishDate 2024
dc.date.none.fl_str_mv 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/307363
https://dx.doi.org/urn:doi:10.1186/s13054-024-05092-x
url https://ddd.uab.cat/record/307363
https://dx.doi.org/urn:doi:10.1186/s13054-024-05092-x
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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