Status:

NOT_YET_RECRUITING

Functional Inspiratory Versus Expiratory Muscle Electrical Stimulation on Weaning Outcomes in Mechanically Ventilated Patients

Lead Sponsor:

Beni-Suef University

Conditions:

Icu

Eligibility:

All Genders

45-65 years

Phase:

NA

Brief Summary

The Goal of This Clinical Trail is * To find out the difference in the effect of inspiratory muscle functional electrical stimulation and expiratory muscle functional electrical stimulation on weanin...

Detailed Description

Type of Study: This study will be randomized clinical trial. Study Procedures: 100 mechanically ventilated both sexes patients will be recruited in this study from intensive care unit, Beni-Suef Unive...

Eligibility Criteria

Inclusion

  • All mechanically ventilated patients will be:
  • Their ages range from 45 to 65 years.
  • Their BMI is from 25-29.9kg/m2.
  • Mechanically ventilated for at least 24 hours.
  • They all have hypoxemic respiratory failure
  • Glasgow coma score (GCS) ranged from 6 to 12.
  • Richmond Agitation-Sedation Scale score: -2 to +2
  • Patients and their relatives had written informed consent.

Exclusion

  • Hemodynamically unstable patients.
  • Patients with rib fractures.
  • Patients with implanted pacemaker.
  • Obese (BMI greater than 30 kgm2).
  • Tachycardia.
  • Uncontrolled hypertension.
  • History of neuromuscular disease at admission.
  • Spinal injuries.
  • Inability to trigger mechanical ventilation
  • Pregnancy
  • An anticipated stay on the ventilator \<72 h at the time of study
  • Patients who cannot attach electrodes due to local skin damage or infection
  • Patients with Severe intestinal gas accumulation, structural abnormalities, and other reasons that prevent ultrasound detection of diaphragm movement.
  • Congenital myopathies or neuropathies, and contraindications for expiratory muscle FES (cardiac pacemaker, refractory epilepsy, recent (\< 4 weeks) abdominal surgery).
  • Patients with unrelieved pneumothorax and restricted diaphragm movement disorders.
  • Chest or diaphragm malformation

Key Trial Info

Start Date :

January 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2026

Estimated Enrollment :

48 Patients enrolled

Trial Details

Trial ID

NCT07204821

Start Date

January 1 2026

End Date

March 1 2026

Last Update

January 2 2026

Active Locations (1)

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Beni-Suef University, Beni-Suef

Cairo, Egypt