Lozada PD, Martínez CMÁ

Language: Spanish
References: 14
Page: 258-261
PDF size: 151.07 Kb.

ABSTRACT

The expiratory muscles play a very important role in the critically ill patient. The abdominal muscles participate in the coughing mechanism; they are also essential for maintaining the vertical posture and generate a biomechanical advantage to the diaphragm. The expiratory muscles should be included as part of the functional evaluation of the critically ill patient beyond cough.

REFERENCES

1. Shi ZH, Jonkman A, de Vries H, Jansen D, Ottenheijm C, Girbes A et al. Expiratory muscle dysfunction in critically ill patients: towards improved understanding. Intensive Care Med. 2019; 45 (8): 1061-1071.

2. Doorduin J, Roesthuis LH, Jansen D, van der Hoeven JG, van Hees HWH, Heunks LMA. Respiratory muscle effort during expiration in successful and failed weaning from mechanical ventilation. Anesthesiology. 2018; 129 (3): 490-501.

3. Pratter MR. Cough and the common cold: ACCP evidence-based clinical practice guidelines. Chest. 2006; 129 (1 Suppl): 72S-74S.

4. Puthucheary ZA, Rawal J, McPhail M, Connolly B, Ratnayake G, Chan P et al. Acute skeletal muscle wasting in critical illness. JAMA. 2013; 310 (15): 1591-600.

5. Masani K, Sin VW, Vette AH, Thrasher TA, Kawashima N, Morris A et al. Postural reactions of the trunk muscles to multi-directional perturbations in sitting. Clin Biomech (Bristol, Avon). 2009; 24 (2): 176-182.

6. De Troyer A. Mechanical role of the abdominal muscles in relation to posture. Respir Physiol. 1983; 53 (3): 341-353.

7. Hu H, Meijer OG, Hodges PW, Bruijn SM, Strijers RL, Nanayakkara PW et al. Control of the lateral abdominal muscles during walking. Hum Mov Sci. 2012; 31 (4): 880-896.

8. Bruijn SM, Meijer OG, van Dieen JH, Kingma I, Lamoth CJ. Coordination of leg swing, thorax rotations, and pelvis rotations during gait: the organisation of total body angular momentum. Gait Posture. 2008; 27 (3): 455-462.

9. Kera T, Maruyama H. The effect of posture on respiratory activity of the abdominal muscles. J Physiol Anthropol Appl Human Sci. 2005; 24 (4): 259-265.

10. Mesquita Montes A, Gouveia S, Crasto C, de Melo CA, Carvalho P, Santos R et al. Abdominal muscle activity during breathing in different postural sets in healthy subjects. J Bodyw Mov Ther. 2017; 21 (2): 354-361.

11. Wang ZY, Bai Y. Cough--another important factor in extubation readiness in critically ill patients. Crit Care. 2012; 16 (6): 461.

12. Beuret P, Roux C, Auclair A, Nourdine K, Kaaki M, Carton MJ. Interest of an objective evaluation of cough during weaning from mechanical ventilation. Intensive Care Med. 2009; 35 (6): 1090-1093.

13. Terzi N, Lofaso F, Masson R, Beuret P, Normand H, Dumanowski E et al. Physiological predictors of respiratory and cough assistance needs after extubation. Ann Intensive Care. 2018; 8 (1): 18.

14. Schreiber AF, Bertoni M, Coiffard B, Fard S, Wong J, Reid WD et al. Abdominal muscle use during spontaneous breathing and cough in patients who are mechanically ventilated: a bi-center ultrasound study. Chest. 2021; 160 (4): 1316-1325.