Status:

TERMINATED

Neuromuscular Electrical Stimulation in ICU Patients

Lead Sponsor:

Federal University of Rio Grande do Sul

Conditions:

Intensive Care Unit Acquired Weakness

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The aim of the present study is to evaluate the effects of neuromuscular electrical stimulation (NMES) combined with conventional physiotherapy (Experimental Group), compared to conventional physiothe...

Detailed Description

The aim of the present study is to evaluate the effects of neuromuscular electrical stimulation (NMES) combined with conventional physiotherapy (Experimental Group), compared to conventional physiothe...

Eligibility Criteria

Inclusion

  • Patients with any clinical condition hospitalized in the ICU, which are monitored by the Physiotherapy Service:
  • Cerebrovascular diseases
  • Other bacterial diseases
  • Circulatory and respiratory diseases
  • Digestive and abdominal diseases
  • Liver diseases
  • Time between the patient's ICU entry and the onset of the NMES intervention less than one week.
  • Patients may be in mechanical ventilation, non-invasive ventilation, oxygen therapy or oxygen ambient ventilation (no ventilatory add). Patients re-admitted to the ICU within the same hospitalization period (i.e., did not leave the hospital) may also be included, as well as patients with previous tracheostomy.

Exclusion

  • Previously diagnosed neuromuscular diseases:
  • ALS
  • Guillain Barre
  • Chronic stroke
  • TRM
  • End-stage malignant disease
  • Lower limbs' amputation
  • Body mass index above 40 kg/m2
  • Cachexia (defined as the presence of chronic disease and weight loss ≥ 5% in a period shorter than 12 months or BMI \< 20 kg/m2, associated with at least three of the following criteria: (1) decreased muscle strength; (2) fatigue; (3) anorexia; (4) reduction of fat free mass index; and (5) biochemical abnormalities such as inflammation, anemia or reduction of serum albumin concentration).
  • Lesions on the skin at the electrode placement and/or dynamometer support points
  • Post-operative transplantation
  • Patients using a neuromuscular blocker
  • Hemodynamic instability (nora \> 10; ABCDE criteria)
  • Height \< 1.50m
  • Rhabdomyolysis

Key Trial Info

Start Date :

March 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 6 2024

Estimated Enrollment :

56 Patients enrolled

Trial Details

Trial ID

NCT04332263

Start Date

March 1 2022

End Date

June 6 2024

Last Update

June 10 2024

Active Locations (1)

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1

Universidade Federal do Rio Grande do Sul

Porto Alegre, Rio Grande do Sul, Brazil, 90690-200