Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit
Joint Authors
Ducharme-Crevier, Laurence
Emeriaud, Guillaume
Du Pont-Thibodeau, Geneviève
Source
Critical Care Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The monitoring of electrical activity of the diaphragm (EAdi) is a new minimally invasive bedside technology that was developed for the neurally adjusted ventilatory assist (NAVA) mode of ventilation.
In addition to its role in NAVA ventilation, this technology provides the clinician with previously unavailable and essential information on diaphragm activity.
In this paper, we review the clinical interests of EAdi in the pediatric intensive care setting.
Firstly, the monitoring of EAdi allows the clinician to tailor the ventilatory settings on an individual basis, avoiding frequent overassistance leading potentially to diaphragmatic atrophy.
Increased inspiratory EAdi levels can also suggest insufficient support, while a strong tonic activity may reflect the patient efforts to increase its lung volume.
EAdi monitoring also allows detection of patient-ventilator asynchrony.
It can play a role in evaluation of extubation readiness.
Finally, EAdi monitoring provides the clinician with better understanding of the ventilatory capacity of patients with acute neuromuscular disease.
Further studies are warranted to evaluate the clinical impact of these potential benefits.
American Psychological Association (APA)
Ducharme-Crevier, Laurence& Du Pont-Thibodeau, Geneviève& Emeriaud, Guillaume. 2013. Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Critical Care Research and Practice،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-467828
Modern Language Association (MLA)
Ducharme-Crevier, Laurence…[et al.]. Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Critical Care Research and Practice No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-467828
American Medical Association (AMA)
Ducharme-Crevier, Laurence& Du Pont-Thibodeau, Geneviève& Emeriaud, Guillaume. Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Critical Care Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-467828
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-467828