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• W3014201598 abstract "<h3>BACKGROUND:</h3> Detection of diaphragmatic muscle activity during invasive ventilation may provide valuable information about patient-ventilator interactions. Transesophageal electromyography of the diaphragm (<math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math>) is used in neurally adjusted ventilatory assist. This technique is invasive and can only be applied with one specific ventilator. Surface electromyography of the diaphragm (<math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math>) is noninvasive and can potentially be applied with all types of ventilators. The primary objective of our study was to compare the ability of diaphragm activity detection between <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> and <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math>. <h3>METHODS:</h3> In this single-center pilot study, <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> and <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> recordings were obtained simultaneously for 15 min in adult subjects in the ICU who were invasively ventilated. The number of breathing efforts detected by <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> and <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> were determined. The percentage of detected breathing efforts by <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> compared with <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> was calculated. Temporal and signal strength relations on optimum recordings of 10 breaths per subject were also compared. The Spearman correlation coefficient was used to determine the correlation between <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> and <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math>. Agreement was calculated by using Bland-Altman statistics. <h3>RESULTS:</h3> Fifteen subjects were included. The <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> detected 3,675 breathing efforts, of which 3,162 (86.0%) were also detected by <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math>. A statistically significant temporal correlation (r = 0.95, <i>P</i> < .001) was found between <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> and <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> in stable recordings. The mean difference in the time intervals between both techniques was 10.1 ms, with limits of agreement from –410 to 430 ms. <h3>CONCLUSIONS:</h3> Analysis of our results showed that <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> was not reliable for breathing effort detection in subjects who were invasively ventilated compared with <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math>. In stable recordings, however, <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> and <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>tE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> had excellent temporal correlation and good agreement. With optimization of signal stability, <math xmlns=http://www.w3.org/1998/Math/MathML display=inline overflow=scroll><mrow><mtext mathvariant=bold>sE</mtext><msub><mi mathvariant=normal>A</mi><mtext mathvariant=bold>di</mtext></msub></mrow></math> may become a useful monitoring tool." @default.
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• W3014201598 date "2020-03-31" @default.
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• W3014201598 title "Transesophageal Versus Surface Electromyography of the Diaphragm in Ventilated Subjects" @default.
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