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Effect of combined electrical muscle stimulation and resistance exercises on duration of mechanical ventilation in critically ill patients: a randomized controlled trial

Not Applicable
Completed
Conditions
mechanical ventilation
muscle dysfunction
critical illness
Musculoskeletal - Other muscular and skeletal disorders
Physical Medicine / Rehabilitation - Physiotherapy
Registration Number
ACTRN12614001059651
Lead Sponsor
niversity of Brasilia Brazil
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
40
Inclusion Criteria

All patients consecutively admitted to the multidisciplinary ICU of San Jose Hospital during the study period were considered for inclusion in the study. All patients who had been on mechanical ventilation for less than 72 hours, and were expected to continue for at least 24 hours, were included.

Exclusion Criteria

preexisting neuromuscular disease (e.g. Myasthenia Gravis, Guillain-Barre disease), cardiopulmonary arrest, end-stage malignancy, raised intracranial pressure, or technical obstacles that did not allow the implementation of EMS such as bone fractures or skin lesions

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
duration of mechanical ventilation (discontinuation of mechanical ventilation support with no need of return for mechanical ventilation until intensive care unit discharge)[at discharge from intensive care unit]
Secondary Outcome Measures
NameTimeMethod
length of stay in intensive care unit[the moment when the patient was discharged from intensive care unit];Biomarker analysis[Participants who consent to participation will also be<br>approached for consent to biomarker assessment involving<br>blood samples. Venous blood (15 ml) will be collected at each time point and processed to obtain plasma and serum for <br>subsequent analyses. Stored plasma and serum will be<br>analysed using ELISA methods for IGF-1, IL-1 beta, IL-6,<br>IL-10, IL-18 and TNF-alpha. Biomarker assessment will be performed at baseline, and at ICU discharge (where possible<br>the ‘ICU discharge’ measure will occur 24 h post final<br>intervention exercise session).]
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