Effect of Neuromuscular Electrical Stimulation on the Duration of Mechanical Ventilation.
BACKGROUND: It has been proposed that neuromuscular or functional electrical stimulation may have effects on respiratory muscles through its systemic effects, similar to those produced by exercise training. However, its impact on the duration of invasive mechanical ventilation has not been adequatel...
| Publicado en: | Respiratory Care Vol. 66; no. 4; pp. 679 - 686 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149601682&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149601682 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Apr2021 vid: 66 iid: 4 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 149601682 149601682 149601682 10.4187/respcare.08363 149601682 ppf: 679 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Effect of Neuromuscular Electrical Stimulation on the Duration of Mechanical Ventilation. aug: au: Gutiérrez-Arias, Ruvistay E. Zapata-Quiroz, Constanza C. Prenafeta-Pedemonte, Benjamín O. Nasar-Lillo, Nicolás A. Gallardo-Zamorano, Diego I. affil: Critical Care Unit, Instituto Nacional del Tórax, Santiago, Chile sug: subj: Respiration, Artificial Electrical Stimulation, Neuromuscular Treatment Duration Respiratory Muscles Physiology Critically Ill Patients Human Systematic Review Meta Analysis Medline Embase Confidence Intervals ab: BACKGROUND: It has been proposed that neuromuscular or functional electrical stimulation may have effects on respiratory muscles through its systemic effects, similar to those produced by exercise training. However, its impact on the duration of invasive mechanical ventilation has not been adequately defined. We sought to evaluate the effect of neuromuscular or functional electrical stimulation on the duration of invasive mechanical ventilation in critically ill subjects. METHODS: We systematically searched 3 databases up to August 2019 (ie, CENTRAL, MEDLINE, and EMBASE) as well as other resources to identify randomized controlled trials (RCTs) that evaluated the effects of neuromuscular or functional electrical stimulation compared to usual care/rehabilitation or placebo of neuromuscular or functional electrical stimulation on the duration of invasive mechanical ventilation. RESULTS: After reviewing 1,200 single records, 12 RCTs (N 5 530 subjects) fulfilled our eligibility criteria. Three studies included only subjects with COPD (n 5 106 subjects), whereas the rest considered subjects with different diseases. The most frequently stimulated muscle group was the quadriceps. Neuromuscular or functional electrical stimulation may decrease the duration of invasive mechanical ventilation (mean difference 5 --2.68 d,95%CI--4.35to--1.02,I² 5 50%, P 5 .002; 10 RCTs; low quality of evidence), and we are uncertain whether this effect may be more pronounced in subjects with COPD (mean difference 5 --2.90 d, 95% CI --4.58 to --1.23, I² 5 9%, P < .001; 3 RCTs; very low quality of evidence). CONCLUSIONS: Neuromuscular or functional electrical stimulation may slightly reduce the duration of invasive mechanical ventilation; we are uncertain whether these results are found in subjects with COPD compared to subjects receiving usual care or placebo, and the quality of the body of evidence is low to very low. More RCTs are needed with a larger number of subjects, with more homogeneous diseases and basal conditions, and especially with a more adequate methodological design. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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