Title |
Monitoring diaphragm function in a patient with myasthenia gravis: electrical activity of the diaphragm vs. maximal inspiratory pressure
|
---|---|
Published in |
Journal of Intensive Care, November 2017
|
DOI | 10.1186/s40560-017-0262-8 |
Pubmed ID | |
Authors |
Yukiko Koyama, Takeshi Yoshida, Akinori Uchiyama, Yuji Fujino |
Abstract |
Maximal inspiratory pressure (MIP) is used to assess respiratory muscle strength of patients with myasthenia gravis (MG) requiring ventilatory support. Electrical activity of the diaphragm (E-di) has been used to guide weaning. The MIP and tidal volume/ΔE-di (the patient-to-ventilator breath contribution) were monitored in a 12-year-old girl with MG requiring ventilator support. The same ventilatory settings were maintained until extubation. During weaning, MIP increased slightly, but varied unpredictably. Tidal volume/ΔE-di decreased at a constant rate as muscle strength recovered. In this patient with muscle weakness, E-di was a reliable tool to monitor weaning from mechanical ventilation. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 50% |
Science communicators (journalists, bloggers, editors) | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 25 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 6 | 24% |
Professor > Associate Professor | 3 | 12% |
Student > Master | 3 | 12% |
Student > Postgraduate | 2 | 8% |
Researcher | 2 | 8% |
Other | 2 | 8% |
Unknown | 7 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 10 | 40% |
Nursing and Health Professions | 4 | 16% |
Neuroscience | 2 | 8% |
Biochemistry, Genetics and Molecular Biology | 1 | 4% |
Unknown | 8 | 32% |