Evaluation on the Effect of Acupuncture and Neuromuscular Electrical Stimulation on Mechanical Ventilation Patients
Respiratory Insufficiency Requiring Mechanical Ventilation
About this trial
This is an interventional treatment trial for Respiratory Insufficiency Requiring Mechanical Ventilation focused on measuring Respiratory Failure, weaning difficulty
Eligibility Criteria
Inclusion Criteria:
- Prolonged mechanical ventilation duration (>72 h)
- stable oxygen saturation, fraction of inspired oxygen≤55%, and positive end expiratory pressure (PEEP)≤8 cmH2O
- dose of dopamine<10 μg/kg/min and dose of epinephrine<0.4 μg/kg/min;
- mean arterial pressure>75 mmHg and urine output>1 mL/kg/h
- good healing of the incision after surgery;
- normal cognitive function
- no history of chronic mental illness or chronic obstructive pulmonary disease
Exclusion Criteria:
- Inability to perform physical activities
- long-term MV prior to admission
- neurological comorbidities involving muscles
- irreversible disorders with a 6-month mortality rate of>50% according to Acute Physiology and Chronic Health Evaluation II (APACHEII)
- unsound limbs or unstable fractures
- administration of glucocorticoids (prednisone or other corticosteroid dose equivalents>20 mg/day) for at least 20 days prior to admission
- cardiopulmonary resuscitation before admission to the ICU
- radiotherapy or chemotherapy within the previous 6 months
- presence of comorbidities, including acute myocarditis, deep venous thrombosis/embolism, and cerebrovascular accident
- Patients with implanted pacemakers or defibrillators
- Pregnancy and lactation patients
- Patients with active bleeding or bleeding tendency
- Skin infection or injury at the acupuncture site
Sites / Locations
- The Affiliated Hospital of Qingdao University
Arms of the Study
Arm 1
Arm 2
Arm 3
No Intervention
Experimental
No Intervention
Acupuncture Group
Electroacupuncture Group
Neuromuscular Electrical Stimulation Group
The acupuncture treatment will be performed by the technique of lifting, thrusting, twirling and rotating the needle until the patient is being "De-qi" (getting a numbness or other acupuncture feeling)
On the basis of the above acupuncture treatment,two points that do not cross the joint will be chosen for electrical stimulation
Neuromuscular Electrical Stimulation(NMES) group received consecutive daily sessions of electrical stimulation at specific points