Transcutaneous Diaphragm Electrical Stimulation in Critically Ill Patients

Transcutaneous Diaphragm Electrical StimuLAtion in Critically Ill Patients to Prevent Diaphragm Dysfunction

This study evaluates the effect of a transcutaneous electrical stimulation in critically ill patients compared to a sham electrical stimulation to decrease the incidence of diaphragm dysfunction before mechanical ventilation weaning.

Inclusion Criteria:

• Patients intubated and ventilated for at least 24 h
• Patients who were expected to have at least 48h after inclusion

Exclusion Criteria:

• Patient with pacemaker
• Patient under neuro muscular blocker
• Patient post thoracic or abdominal surgery
• Patient with BMI more than 35 kg/m²
• Patient with degenerative neurological pathology
• Patient with cutaneous lesion may be interfered with probes
• Patient with chronic loss of autonomy
• Patient hospitalized more than 72 hours before ICU admission
• Patient with severe chronic obstructive pulmonary disease (FEV1 < 30%)
• Patient with decision to withhold life-sustaining treatment