Dyspnea and surface inspiratory electromyograms in mechanically ventilated patients

Intensive Care Medicine

Volumn 39, Issue 8, 2013, Pages 1368-1376

  Schmidt, Matthieu ^a,b   Kindler, Félix ^a,b   Gottfried, Stewart B ^a,c   Raux, Mathieu ^a,b   Hug, Francois ^a,d   Similowski, Thomas ^a,b   Demoule, Alexandre ^a,b,e  

^a SORBONNE UNIVERSITÉ   (France)

^b PITIÉ SALPÊTRIÈRE HOSPITAL   (France)

^c MCGILL UNIVERSITY   (Canada)

^d Universite de Nantes   (France)

^e INSERM   (France)

Author keywords

Electromyogram; Inspiratory muscles; Mechanical ventilation; Patient ventilator interaction; Positive pressure support

Indexed keywords

ADULT; AGED; AREA UNDER THE CURVE; ARTICLE; ARTIFICIAL VENTILATION; CHRONIC OBSTRUCTIVE LUNG DISEASE; DIAPHRAGM MUSCLE; DYSPNEA; ELECTROMYOGRAM; ELECTROMYOGRAPHY; ENDOTRACHEAL INTUBATION; FEMALE; HUMAN; INSPIRATORY CAPACITY; MALE; PATHOPHYSIOLOGY; PNEUMONIA; PRESSURE SUPPORT VENTILATION; RESPIRATORY DRIVE; SEPTIC SHOCK; TIDAL VOLUME; TRACHEOSTOMY; VENTILATED PATIENT; VISUAL ANALOG SCALE;

ADULT; AGED; AGED, 80 AND OVER; DYSPNEA; ELECTROMYOGRAPHY; FEMALE; HUMANS; INHALATION; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL;

EID: 84880251771     PISSN: 03424642     EISSN: 14321238     Source Type: Journal    
DOI: 10.1007/s00134-013-2910-3     Document Type: Article

References (25)

1. Schmidt M, Demoule A, Polito A, Porchet Rl, Aboab J, Siami S, Morelot-Panzini C, Similowski T, Sharshar T (2011) Dyspnea in mechanically ventilated critically ill patients. Crit Care Med 39:2059-2065
2. Vitacca M, Bianchi L, Zanotti E, Vianello A, Barbano L, Porta R, Clini E (2004) Assessment of physiologic variables and subjective comfort under different levels of pressure support ventilation. Chest 126:851-859
3. Thille AW, Cabello B, Galia F, Lyazidi A, Brochard L (2008) Reduction of patient-ventilator asynchrony by reducing tidal volume during pressure-support ventilation. Intensive Care Med 34:1477-1486
4. Thille AW, Rodriguez P, Cabello B, Lellouche Fo, Brochard L (2006) Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 32:1515-1522
5. Schmidt M, Chiti L, Hug F, Demoule A, Similowski T (2011) Surface electromyogram of inspiratory muscles: a possible routine monitoring tool in the intensive care unit. Br J Anaesth 106:913-914
6. Ramsay MA, Savege TM, Simpson BR, Goodwin R (1974) Controlled sedation with alphaxalone-alphadolone. Br Med J 2:656-659
7. De Jonghe B, Cook D, Griffith L, Appere-de-Vecchi C, Guyatt G, Theron V, Vagnerre A, Outin H (2003) Adaptation to the Intensive Care Environment (ATICE): development and validation of a new sedation assessment instrument. Crit Care Med 31:2344-2354
8. Lush MT, Janson-Bjerklie S, Carrieri VK, Lovejoy N (1988) Dyspnea in the ventilator-assisted patient. J Crit Care 17:528-535
9. Bouley GH, Froman R, Shah H (1992) The experience of dyspnea during weaning. J Crit Care 21:471-476
10. Powers J, Bennett SJ (1999) Measurement of dyspnea in patients treated with mechanical ventilation. Am J Crit Care 8:254-261
11. Hug F, Raux M, Prella M, Morelot-Panzini C, Straus C, Similowski T (2006) Optimized analysis of surface electromyograms of the scalenes during quiet breathing in humans. Respir Physiol Neurobiol 150:75-81
12. Georgopoulos D, Prinianakis G, Kondili E (2006) Bedside waveforms interpretation as a tool to identify patient-ventilator asynchronies. Intensive Care Med 32:34-47
13. Poon CS (1988) Analysis of linear and mildly nonlinear relationships using pooled subject data. J Appl Physiol (Bethesda, Md: 1985) 64:854-859
14. Brochard L, Harf A, Lorino H, Lemaire F (1989) Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am Rev Respir Dis 139:513-521
15. Chao DC, Scheinhorn DJ, Stearn-Hassenpflug M (1997) Patient-ventilator trigger asynchrony in prolonged mechanical ventilation. Chest 112:1592
16. Parthasarathy S, Jubran A, Laghi F, Tobin MJ (2007) Sternomastoid, rib cage, and expiratory muscle activity during weaning failure. J Appl Physiol (Bethesda, Md: 1985) 103:140-147
17. Murphy PB, Kumar A, Reilly C, Jolley C, Walterspacher S, Fedele F, Hopkinson NS, Man WD-C, Polkey MI, Moxham J, Hart N (2011) Neural respiratory drive as a physiological biomarker to monitor change during acute exacerbations of COPD. Thorax 66:602-608
18. Strohl KP, Hensley MJ, Hallett M, Saunders NA, Ingram RH Jr (1980) Activation of upper airway muscles before onset of inspiration in normal humans. J Appl Physiol 49:638-642
19. Chiti L, Biondi G, Morelot-Panzini C, Raux M, Similowski T, Hug FO (2008) Scalene muscle activity during progressive inspiratory loading under pressure support ventilation in normal humans. Respir Physiol Neurobiol 164:441-448
20. Zakynthinos SG, Vassilakopoulos T, Roussos C (1995) The load of inspiratory muscles in patients needing mechanical ventilation. Am J Respir Crit Care Med 152:1248-1255
21. Leung P, Jubran A, Tobin MJ (1997) Comparison of assisted ventilator modes on triggering, patient effort, and dyspnea. Am J Respir Crit Care Med 155:1940-1948
22. Morelot-Panzini C, Demoule A, Straus C, Zelter M, Derenne J-P, Willer J-C, Similowski T (2007) Dyspnea as a noxious sensation: inspiratory threshold loading may trigger diffuse noxious inhibitory controls in humans. J Neurophysiol 97:1396-1404
23. Lellouche F, Lipes J (2012) Prophylactic protective ventilation: lower tidal volumes for all critically ill patients? Intensive Care Med 39:6-15
24. Serpa Neto A, Cardoso SO, Manetta JA, Pereira VG, Esposito DC, Pasqualucci Mde O, Damasceno MC, Schultz MJ (2012) Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: a meta-analysis. JAMA 308:1651-1659
25. Aliverti A, Cala SJ, Duranti R, Ferrigno G, Kenyon CM, Pedotti A, Scano G, Sliwinski P, Macklem PT, Yan S (1997) Human respiratory muscle actions and control during exercise. J Appl Physiol (Bethesda, Md: 1985) 83:1256-1269 Recherche en Pneumologie et sur le Sommeil