Transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated children

Abstract Background To explore the feasibility of transcutaneous electromyographic respiratory muscle recordings to automatically quantify the synchronicity of patient–ventilator interaction in the pediatric intensive care unit. Methods Prospective observational study in a tertiary paediatric intens...

Full description

Bibliographic Details
Main Authors:	Alette A. Koopman, Robert G. T. Blokpoel, Leo A. van Eykern, Frans H. C. de Jongh, Johannes G. M. Burgerhof, Martin C. J. Kneyber
Format:	Article
Language:	English
Published:	SpringerOpen 2018-01-01
Series:	Annals of Intensive Care
Subjects:	Child Mechanical ventilation Asynchrony Electromyography Patient–ventilator interaction Paediatric intensive care
Online Access:	http://link.springer.com/article/10.1186/s13613-018-0359-9

id	doaj-d9005609c767479e9b080f2c8f98eef5
record_format	Article
spelling	doaj-d9005609c767479e9b080f2c8f98eef52020-11-24T21:42:18ZengSpringerOpenAnnals of Intensive Care2110-58202018-01-01811910.1186/s13613-018-0359-9Transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated childrenAlette A. Koopman0Robert G. T. Blokpoel1Leo A. van Eykern2Frans H. C. de Jongh3Johannes G. M. Burgerhof4Martin C. J. Kneyber5Division of Paediatric Intensive Care, Department of Paediatrics, Beatrix Children’s Hospital, University Medical Center Groningen, The University of GroningenDivision of Paediatric Intensive Care, Department of Paediatrics, Beatrix Children’s Hospital, University Medical Center Groningen, The University of GroningenInbiolab B.V.Faculty of Science and Technology, University of TwenteDepartment of Epidemiology, University Medical Center Groningen, The University of GroningenDivision of Paediatric Intensive Care, Department of Paediatrics, Beatrix Children’s Hospital, University Medical Center Groningen, The University of GroningenAbstract Background To explore the feasibility of transcutaneous electromyographic respiratory muscle recordings to automatically quantify the synchronicity of patient–ventilator interaction in the pediatric intensive care unit. Methods Prospective observational study in a tertiary paediatric intensive care unit in an university hospital. Spontaneous breathing mechanically ventilated children < 18 years of age were eligible for inclusion. Patients underwent a 5-min continuous recording of ventilator pressure waveforms and transcutaneous electromyographic signal of the diaphragm. To evaluate patient–ventilator interaction, the obtained neural inspiration and ventilator pressurization timings were used to calculate trigger and cycle-off errors of each breath. Calculated errors were displayed in the dEMG-phase scale. Results Data of 23 patients were used for analysis. Based on the dEMG-phase scale, the median rates of synchronous, dyssynchronous and asynchronous breaths as classified by the automated analysis were 12.2% (1.9–33.8), 47.5% (36.3–63.1), and 28.9% (6.6–49.0). Conclusions The dEMG-phase scale quantifying patient–ventilator breath synchronicity was demonstrated to be feasible and a reliable scale for mechanically ventilated children, reflected by high intra-class correlation coefficients. As this non-invasive tool is not restricted to a type of ventilator, it could easily be clinical implemented in the ventilated pediatric population. However; correlation studies between the EMG signal measured by surface EMG and esophageal catheters have to be performed.http://link.springer.com/article/10.1186/s13613-018-0359-9ChildMechanical ventilationAsynchronyElectromyographyPatient–ventilator interactionPaediatric intensive care
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Alette A. Koopman Robert G. T. Blokpoel Leo A. van Eykern Frans H. C. de Jongh Johannes G. M. Burgerhof Martin C. J. Kneyber
spellingShingle	Alette A. Koopman Robert G. T. Blokpoel Leo A. van Eykern Frans H. C. de Jongh Johannes G. M. Burgerhof Martin C. J. Kneyber Transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated children Annals of Intensive Care Child Mechanical ventilation Asynchrony Electromyography Patient–ventilator interaction Paediatric intensive care
author_facet	Alette A. Koopman Robert G. T. Blokpoel Leo A. van Eykern Frans H. C. de Jongh Johannes G. M. Burgerhof Martin C. J. Kneyber
author_sort	Alette A. Koopman
title	Transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated children
title_short	Transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated children
title_full	Transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated children
title_fullStr	Transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated children
title_full_unstemmed	Transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated children
title_sort	transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated children
publisher	SpringerOpen
series	Annals of Intensive Care
issn	2110-5820
publishDate	2018-01-01
description	Abstract Background To explore the feasibility of transcutaneous electromyographic respiratory muscle recordings to automatically quantify the synchronicity of patient–ventilator interaction in the pediatric intensive care unit. Methods Prospective observational study in a tertiary paediatric intensive care unit in an university hospital. Spontaneous breathing mechanically ventilated children < 18 years of age were eligible for inclusion. Patients underwent a 5-min continuous recording of ventilator pressure waveforms and transcutaneous electromyographic signal of the diaphragm. To evaluate patient–ventilator interaction, the obtained neural inspiration and ventilator pressurization timings were used to calculate trigger and cycle-off errors of each breath. Calculated errors were displayed in the dEMG-phase scale. Results Data of 23 patients were used for analysis. Based on the dEMG-phase scale, the median rates of synchronous, dyssynchronous and asynchronous breaths as classified by the automated analysis were 12.2% (1.9–33.8), 47.5% (36.3–63.1), and 28.9% (6.6–49.0). Conclusions The dEMG-phase scale quantifying patient–ventilator breath synchronicity was demonstrated to be feasible and a reliable scale for mechanically ventilated children, reflected by high intra-class correlation coefficients. As this non-invasive tool is not restricted to a type of ventilator, it could easily be clinical implemented in the ventilated pediatric population. However; correlation studies between the EMG signal measured by surface EMG and esophageal catheters have to be performed.
topic	Child Mechanical ventilation Asynchrony Electromyography Patient–ventilator interaction Paediatric intensive care
url	http://link.springer.com/article/10.1186/s13613-018-0359-9
work_keys_str_mv	AT aletteakoopman transcutaneouselectromyographicrespiratorymusclerecordingstoquantifypatientventilatorinteractioninmechanicallyventilatedchildren AT robertgtblokpoel transcutaneouselectromyographicrespiratorymusclerecordingstoquantifypatientventilatorinteractioninmechanicallyventilatedchildren AT leoavaneykern transcutaneouselectromyographicrespiratorymusclerecordingstoquantifypatientventilatorinteractioninmechanicallyventilatedchildren AT franshcdejongh transcutaneouselectromyographicrespiratorymusclerecordingstoquantifypatientventilatorinteractioninmechanicallyventilatedchildren AT johannesgmburgerhof transcutaneouselectromyographicrespiratorymusclerecordingstoquantifypatientventilatorinteractioninmechanicallyventilatedchildren AT martincjkneyber transcutaneouselectromyographicrespiratorymusclerecordingstoquantifypatientventilatorinteractioninmechanicallyventilatedchildren
_version_	1725917790173396992

Transcutaneous electromyographic respiratory muscle recordings to quantify patient–ventilator interaction in mechanically ventilated children

Similar Items