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Proceedings of RΓ©animation , the French Intensive Care Society International Congress - PMC

Official websites use. Share sensitive information only on official, secure websites. Introduction : Mechanical Insufflation-Exsufflation MI-E by using a specific device is commonly used to increase weak cough, as in patients with chronic neuromuscular weakness or in intensive care unit ICU patients with ICU-acquired neuro-myopathy. Upper airways collapse is frequently associated with neuromuscular disease and may compromise MI-E efficacy. The goal of present study was to carry out a bench study to assess the effect of MI-E on PCF with and without the presence of a collapsible tube.

Our hypothesis was that PCF was lower with than without collapsible tube. Flow and pressure were proximal to the lung simulator. Six C-R combinations were tested, each with and without the collapsible tube. MI-E device was set in automatic mode with inspiratory time of 3 s, expiratory time of 3. Each set was recorded by using a data logger Biopac , Biopac inc. The peak expiratory flow during the first ms after onset of expiration was taken as the surrogate of PCF.

The corresponding pressure was also recorded. Results : Contrary to our hypothesis, the peak expiratory flow during the first ms of exsufflation phase is higher with than without the collapsible tube in every C-R condition, as shown in figure 1. For the other conditions, the collapsible tube significantly increased PCF at 30 cm H 2 O expiratory pressure and the gap further increased above this pressure because the slope increased with the collapsible tube.

Conclusion : We found that peak expiratory was higher with than without collapsible tube. In vivo measurements in patients should be done to confirm this finding. Introduction : Background. Current literature and French guidelines recommend early mobilization in Intensive Care Units ICU , including verticalization and walking.

Verticalization for neurologic patients in ICU is challenging because of neurological impairments, risks of falls and of clinical worsening. To study the feasibility and safety of walking with the weight suspension system in a neuroICU. Safety involved rate of adverse events, changes in vital parameters, pain.

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