scholarly journals Acute microcirculatory effects of medium frequency versus high frequency neuromuscular electrical stimulation in critically ill patients - a pilot study

2013 ◽  
Vol 3 (1) ◽  
pp. 39 ◽  
Author(s):  
Epameinondas Angelopoulos ◽  
Eleftherios Karatzanos ◽  
Stavros Dimopoulos ◽  
Georgios Mitsiou ◽  
Christos Stefanou ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Pilot Study ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
High Frequency ◽  
Neuromuscular Electrical Stimulation ◽  
Medium Frequency

Neuromuscular Electrical Stimulation: A New Therapeutic and Rehabilitation Strategy in the ICU

2014 ◽  
Author(s):  
Vasiliki Gerovasili ◽  
Serafim N Nanas
Keyword(s):  
Electrical Stimulation ◽  
Critical Illness ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Neuromuscular Electrical Stimulation ◽  
Early Mobilization ◽  
Alternative Form ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
And Function

Many critically ill patients undergo a period of immobilization with detrimental effects on skeletal muscle, effects which seem most pronounced in the first days of critical illness. Diagnosis of intensive care unit muscle weakness (ICUAW) is often made after discontinuation of sedation when significant nerve and/or muscle damage may already have occurred. Recently, there has been interest in early mobilization during the acute phase of critical illness, with the goal of preventing ICUAW. Neuromuscular electrical stimulation (NEMS) is an alternative form of exercise that has been successfully used in patients with advanced chronic obstructive pulmonary disease (COPD) and chronic heart failure. NEMS is a rehabilitation tool that can be used in critically ill, sedated patients, does not require patient cooperation, and is therefore a promising intervention to prevent muscle dysfunction in the critically ill. When applied early during the course of critical illness, NEMS can preserve muscle morphology and function. Available evidence suggests that NEMS may have a preventive role in the development of ICUAW and could even contribute to a shorter duration of weaning from mechanical ventilation. Studies are needed to evaluate the long-term effect of NEMS and to explore NEMS settings and delivery characteristics most appropriate for different subgroups of critically ill patients.

scholarly journals Feasibility of neuromuscular electrical stimulation in critically ill patients

Critical Care ◽  
2013 ◽  
Vol 17 (S2) ◽  
Author(s):  
J Segers ◽  
G Hermans ◽  
F Bruyninckx ◽  
G Meyfroidt ◽  
D Langer ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Neuromuscular Electrical Stimulation

scholarly journals Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Marcela Aparecida Leite ◽  
Erica Fernanda Osaku ◽  
Jaqueline Albert ◽  
Claudia Rejane Lima de Macedo Costa ◽  
Alessandra Madalena Garcia ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Muscle Strength ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Neuromuscular Electrical Stimulation ◽  
Functional Independence ◽  
Peripheral Muscle ◽  
Icu Discharge ◽  
Length Of Hospitalization ◽  
Stimulation Of

Background. Deep and respiratory muscle disorders are commonly observed in critically ill patients. Neuromuscular electrical stimulation (NMES) is an alternative to mobilize and to exercise that does not require active patient participation and can be used on bedridden patients. Objective. Evaluate the effectiveness of the NMES therapy in quadriceps versus diaphragm subjects in mechanical ventilation (MV). Methods. Sixty-seven subjects in MV were included, divided into 3 groups: (a) control group (CG, n=26), (b) stimulation of quadriceps (quadriceps group–QG, n=24), and (c) stimulation of diaphragm (diaphragm group–DG, n=17). The QG and DG patients received consecutive daily electrical stimulation sessions at specific points from the first day of randomization until ICU discharge. Respiratory and peripheral muscle strength, MV time, length of hospitalization, and functional independence score (the Functional Status Score-ICU) were recorded. Results. There were studied n=24 (QG), n=17 (DG), and n=26 (CG) patients. Peripheral muscle strength improved significantly in the QG (p=0.030). Functional independence at ICU discharge was significantly better in QG (p=0.013), and the QG presented a better Barthel Index compared to DG and CG (p=0.0049) and also presented better FSS compared to CG (p=0.001). Conclusions. Electrical stimulation of quadriceps had best outcomes for peripheral muscle strength compared with controls or electrical stimulation of diaphragm among mechanically ventilated critically ill subjects and promoted functional independence and decreased length of hospitalization.

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