Severe acute respiratory distress syndrome using electrical activity of the diaphragm on weaning from extracorporeal membrane oxygenation

Research output: Contribution to journalArticle

Abstract

The electrical activity of the diaphragm (EAdi) shows global diaphragmatic activation and power output from the central nervous system. We measured the EAdi as an indicator of breathing workload in a 40-year-old man suffering from severe acute respiratory distress syndrome (ARDS) secondary to influenza pneumonia in the process of weaning from extracorporeal membrane oxygenation (ECMO). Turning offthe sweep gas flow immediately led to EAdi elevation, followed by hypoxia. The patient was successfully weaned from ECMO by reference to EAdi. This is the first case report to suggest that EAdi monitoring might be useful for ARDS patients during ECMO weaning.

Original languageEnglish
Pages (from-to)543-546
Number of pages4
JournalActa Medica Okayama
Volume71
Issue number6
Publication statusPublished - Jan 1 2017

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Severe Acute Respiratory Syndrome
Extracorporeal Membrane Oxygenation
Oxygenation
Adult Respiratory Distress Syndrome
Diaphragms
Diaphragm
Weaning
Membranes
Neurology
Workload
Human Influenza
Flow of gases
Pneumonia
Respiration
Central Nervous System
Gases
Chemical activation
Monitoring

Keywords

  • Acute respiratory distress syndrome
  • Breathing workload
  • Electrical activity of the diaphragm
  • Respiratory extracorporeal membrane oxygenation

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

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abstract = "The electrical activity of the diaphragm (EAdi) shows global diaphragmatic activation and power output from the central nervous system. We measured the EAdi as an indicator of breathing workload in a 40-year-old man suffering from severe acute respiratory distress syndrome (ARDS) secondary to influenza pneumonia in the process of weaning from extracorporeal membrane oxygenation (ECMO). Turning offthe sweep gas flow immediately led to EAdi elevation, followed by hypoxia. The patient was successfully weaned from ECMO by reference to EAdi. This is the first case report to suggest that EAdi monitoring might be useful for ARDS patients during ECMO weaning.",
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AB - The electrical activity of the diaphragm (EAdi) shows global diaphragmatic activation and power output from the central nervous system. We measured the EAdi as an indicator of breathing workload in a 40-year-old man suffering from severe acute respiratory distress syndrome (ARDS) secondary to influenza pneumonia in the process of weaning from extracorporeal membrane oxygenation (ECMO). Turning offthe sweep gas flow immediately led to EAdi elevation, followed by hypoxia. The patient was successfully weaned from ECMO by reference to EAdi. This is the first case report to suggest that EAdi monitoring might be useful for ARDS patients during ECMO weaning.

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