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Transcutaneous Electrical Diaphragmatic Stimulation Reduces the Duration of Invasive Mechanical Ventilation in Patients with Cervical Spinal Cord Injury: Retrospective Case Series

dc.contributor.authorDuarte, G
dc.contributor.authorBethiol, A
dc.contributor.authorRatti, L
dc.contributor.authorFranco, G
dc.contributor.authorMoreno, R
dc.contributor.authorTonella, R
dc.contributor.authorFalcão, AL
dc.date.accessioned2024-03-08T16:21:20Z
dc.date.available2024-03-08T16:21:20Z
dc.date.issued2021
dc.description.abstractStudy design: Retrospective case series. Objectives: To compare individuals with cervical spinal cord injury (SCI) submitted to transcutaneous electrical diaphragmatic stimulation (TEDS) or a standard weaning protocol (SWP) according to the following variables: invasive mechanical ventilation (IMV) time, ventilator weaning time, intensive care unit (ICU) length of stay, and overall hospital length of stay. Settings: Tertiary university hospital. Clinical Hospital of Campinas State University-UNICAMP-Campinas (SP), Brazil. Methods: Retrospective case study investigating ICU patients submitted to tracheostomy due to cervical SCI at a tertiary university hospital (Clinical Hospital of Campinas State University, Brazil). Data were extracted from medical records of patients seen between January 2007 and December 2016. According to medical records, four patients were submitted to TEDS and six to a SWP. Provision of training to patients in the TEDS group was based on consensus medical decision, preference of the physical therapy team and availability of electrostimulation equipment in the ICU. Results: Total IMV time in the TEDS and the SWP group was 33 ± 15 and 60 ± 22 days, respectively. Length of stay in ICU in the TEDS and the SWP group was 31 ± 18 and 63 ± 45 days, respectively. Conclusion: TEDS appears to influence the duration of IMV as well as the length of stay in ICU. This physiotherapeutic intervention may be a potentially promising tool for treatment of patients with SCI. However, randomized clinical trials are warranted to support this assumption.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSpinal Cord Ser Cases . 2021 Apr 9;7(1):26.pt_PT
dc.identifier.doi10.1038/s41394-021-00396-4pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4834
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpript_PT
dc.subjectHSJ UCIpt_PT
dc.subjectHumanspt_PT
dc.subjectCervical Cord*pt_PT
dc.subjectIntensive Care Unitspt_PT
dc.subjectRespiration, Artificial*pt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectVentilator Weaningpt_PT
dc.titleTranscutaneous Electrical Diaphragmatic Stimulation Reduces the Duration of Invasive Mechanical Ventilation in Patients with Cervical Spinal Cord Injury: Retrospective Case Seriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage26pt_PT
oaire.citation.titleSpinal Cord Series and Casespt_PT
oaire.citation.volume7pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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