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Titre : | Feasibility of Neuromuscular Electrical Stimulation Immediately After Cardiovascular Surgery (2015) |
Auteurs : | Kotaro Iwatsu ; Sumio Yamada ; Yuki Iida |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/1, 2015) |
Article en page(s) : | p. 63-68 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Electrotherapie ; Hemodynamique ; Rééducation et réadaptation |
Mots-clés: | Arrhythmias ; cardiac ; Troubles du rythme cardiaque ; Cardiovascular surgical procedures ; Procédures de chirurgie cardiovasculaire ; Electric stimulation therapy ; Hemodynamics |
Résumé : |
Objective To determine the safety and feasibility of neuromuscular electrical stimulation (NMES) from postoperative days (PODs) 1 to 5 after cardiovascular surgery. Design Pre-post interventional study. Setting Surgical intensive care unit and thoracic surgical ward of a university hospital. Participants Consecutive patients (N=144) who underwent cardiovascular surgery were included. Patients with peripheral arterial disease, psychiatric disease, neuromuscular disease, and dementia were excluded. Patients with severe chronic renal failure and those who required prolonged mechanical ventilation after surgery were also excluded because of the possibility of affecting the outcome of a future controlled study. Interventions NMES to the lower extremities was implemented from PODs 1 to 5. Main Outcome Measures Feasibility outcomes included compliance, the number of the patients who had changes in systolic blood pressure (BP) >20mmHg or an increase in heart rate >20 beats/min during NMES, and the incidence of temporary pacemaker malfunction or postoperative cardiac arrhythmias. Results Sixty-eight of 105 eligible patients participated in this study. Sixty-one (89.7%) of them completed NMES sessions. We found no patients who had excessive changes in systolic blood pressure, increased heart rate, or pacemaker malfunction during NMES. Incidence of atrial fibrillation during the study period was 26.9% (7/26) for coronary artery bypass surgery, 18.2% (4/22) for valvular surgery, and 20.0% (4/20) for combined or aortic surgery. No sustained ventricular arrhythmia or ventricular fibrillation was observed. Conclusions The results of this study demonstrate that NMES can be safely implemented even in patients immediately after cardiovascular surgery. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314010181 |