scholarly journals An experimental study on the impacts of inspiratory and expiratory muscles activities during mechanical ventilation in ARDS animal model

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Xianming Zhang ◽  
Juan Du ◽  
Weiliang Wu ◽  
Yongcheng Zhu ◽  
Ying Jiang ◽  
...  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Marc Bodenstein ◽  
Stefan Boehme ◽  
Stephan Bierschock ◽  
Andreas Vogt ◽  
Matthias David ◽  
...  

2018 ◽  
Vol 129 (3) ◽  
pp. 490-501 ◽  
Author(s):  
Jonne Doorduin ◽  
Lisanne H. Roesthuis ◽  
Diana Jansen ◽  
Johannes G. van der Hoeven ◽  
Hieronymus W. H. van Hees ◽  
...  

Abstract What We Already Know about This Topic What This Article Tells Us That Is New Background Respiratory muscle weakness in critically ill patients is associated with difficulty in weaning from mechanical ventilation. Previous studies have mainly focused on inspiratory muscle activity during weaning; expiratory muscle activity is less well understood. The current study describes expiratory muscle activity during weaning, including tonic diaphragm activity. The authors hypothesized that expiratory muscle effort is greater in patients who fail to wean compared to those who wean successfully. Methods Twenty adult patients receiving mechanical ventilation (more than 72 h) performed a spontaneous breathing trial. Tidal volume, transdiaphragmatic pressure, diaphragm electrical activity, and diaphragm neuromechanical efficiency were calculated on a breath-by-breath basis. Inspiratory (and expiratory) muscle efforts were calculated as the inspiratory esophageal (and expiratory gastric) pressure–time products, respectively. Results Nine patients failed weaning. The contribution of the expiratory muscles to total respiratory muscle effort increased in the “failure” group from 13 ± 9% at onset to 24 ± 10% at the end of the breathing trial (P = 0.047); there was no increase in the “success” group. Diaphragm electrical activity (expressed as the percentage of inspiratory peak) was low at end expiration (failure, 3 ± 2%; success, 4 ± 6%) and equal between groups during the entire expiratory phase (P = 0.407). Diaphragm neuromechanical efficiency was lower in the failure versus success groups (0.38 ± 0.16 vs. 0.71 ± 0.36 cm H2O/μV; P = 0.054). Conclusions Weaning failure (vs. success) is associated with increased effort of the expiratory muscles and impaired neuromechanical efficiency of the diaphragm but no difference in tonic activity of the diaphragm.


Author(s):  
ÉRICKA JANINE DANTAS DA SILVEIRA ◽  
CARLOS VIESI DO NASCIMMENTO FILHO ◽  
VERôNICA QUISPE YUJRA ◽  
ROGéRIO MORAES DE CASTILHO ◽  
CRISTIANE HELENA SQUARIZE

2019 ◽  
Vol 55 (03) ◽  
pp. 151-158
Author(s):  
Gopal Nath ◽  
Ram Janam ◽  
Rajesh Kumar ◽  
Mayank Gangwar

AbstractThe present study was planned to evaluate the efficacy of Pseudomonas aeruginosa specific phages in immunocompromised septicemia animal model as an alternative to antibiotics. Five different sets of experiments were performed: prophylactic administration of phage cocktail (3 lytic and unique) before and simultaneous with bacterial challenge; and therapeutic, that is, administration of phage cocktail 6, 12, and 24 hours after the bacterial challenge. No mortality was observed when simultaneous and late administration of phages was done with respect to the bacterial challenge. Contrary to this, administration of phage cocktail 100 µL (1012 PFU/mL) of volume after 6 hours of the infection resulted in a mortality rate of 60%. However, no mortality could be observed with reduced dose of cocktail, that is, 108, 109, and 1010 PFU administered 6 hours after bacterial challenge. Phage therapy in acute infections initiated with very small dosage under strict supervision may give better results. However, further studies to determine the quantity and frequency of dosage of phage cocktail for septicemia of various durations is strongly indicated.


2007 ◽  
Vol 176 (8) ◽  
pp. 786-794 ◽  
Author(s):  
Scott E. Sinclair ◽  
Robert C. Molthen ◽  
Steve T. Haworth ◽  
Christopher A. Dawson ◽  
Christopher M. Waters

2004 ◽  
Vol 4 (6) ◽  
pp. 675-680 ◽  
Author(s):  
Masahito Takahashi ◽  
Jun Ogawa ◽  
Yoshiaki Kinoshita ◽  
Motoki Takakura ◽  
Kazuo Mochizuki ◽  
...  

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