Study Comparing Diaphragm Electromyography and Ultrasound in Infants Up to 12 Months on Respiratory Support in the PICU

What this Trial Is About

Researchers are studying the relationship between two non-invasive ways to observe the diaphragm muscle function in infants and young children who need breathing support in the Pediatric Intensive Care Unit PICU. The study focuses on children from birth up to 12 months old who are on invasive respiratory support and are ready for extubation. It aims to understand how diaphragm electromyography dEMG and diaphragm ultrasound dUS measurements relate to each other in this patient group. The study involves monitoring the diaphragm muscle using two techniques at the same time while the patient breathes spontaneously during the extubation readiness test. dEMG is recorded with three skin electrodes placed around the chest and sternum for 15 to 30 minutes. Ultrasound is performed by trained operators using specific probes to measure diaphragm movement and thickness during three different breaths. These measurements help assess the diaphragms role in breathing. Participants will undergo simultaneous dEMG and ultrasound assessments while stable and breathing on their own. The study collects data on diaphragm muscle activity and structure to analyze their association. Researchers will measure and compare diaphragm electrical activity and ultrasound parameters over about one year. The study includes consent, and patients participate only once. Safety and clinical stability are monitored throughout the process.

Comparing Electromyography of the Diaphragm With Ultrasound in Neonates and Children With Respiratory Support