Título:
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Assessment of weaning indexes based on diaphragm activity in mechanically ventilated subjects after cardiovascular surgery. A pilot study
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Autor/a:
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Muñoz Ortega, Isabel Cristina; Hernández Valdivieso, Alher Mauricio; Alonso López, Joan Francesc; Mañanas Villanueva, Miguel Ángel; Atehortua López, Luis Horacio
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Otros autores:
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Universitat Politècnica de Catalunya. Departament d'Enginyeria de Sistemes, Automàtica i Informàtica Industrial; Universitat Politècnica de Catalunya. BIOART - BIOsignal Analysis for Rehabilitation and Therapy |
Abstract:
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OBJECTIVE: The aim of this pilot study was to evaluate the feasibility of surface electromyographic signal derived indexes for the prediction of weaning outcomes among mechanically ventilated subjects after cardiac surgery.
METHODS: A sample of 10 postsurgical adult subjects who received cardiovascular surgery that did not meet the criteria for early extubation were included. Surface electromyographic signals from diaphragm and ventilatory variables were recorded during the weaning process, with the moment determined by the medical staff according to their expertise. Several indexes of respiratory muscle expenditure from surface electromyography using linear and non-linear processing techniques were evaluated. Two groups were compared: successfully and unsuccessfully weaned patients.
RESULTS: The obtained indexes allow estimation of the diaphragm activity of each subject, showing a correlation between high expenditure and weaning test failure.
CONCLUSION: Surface electromyography is becoming a promising procedure for assessing the state of mechanically ventilated patients, even in complex situations such as those that involve a patient after cardiovascular surgery. |
Abstract:
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Peer Reviewed |
Materia(s):
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-Àrees temàtiques de la UPC::Enginyeria biomèdica -Artificial respiration -Electromyography--methods -Ventilator Weaning -Cardiovascular Surgical Procedures -Respiration -artificial -Diaphragm/physiology -Electromyography/methods -Ventilator weaning -Cardiovascular surgical procedures -Respiració artificial |
Derechos:
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Tipo de documento:
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Artículo - Versión publicada Artículo |
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