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- Title
Neuromodulation in the intensive care unit.
- Authors
Wu, Liang; Citerio, Giuseppe; Gao, Guoyi
- Abstract
Neuromodulation, which involves stimulating the nervous system, has shown potential as a therapeutic intervention in the intensive care unit (ICU). It has been studied in various scenarios, including the prevention of critical illness polyneuromyopathy (CIPNM), diaphragmatic dysfunction, refractory epilepsy, and coma or disorders of consciousness. For example, transcutaneous electrical muscle stimulation (TEMS) has been used to prevent CIPNM and improve outcomes in critically ill patients. However, further research is needed to determine the effectiveness of these treatments in the ICU. Additionally, the introduction of neuromodulation in the ICU presents practical challenges and potential risks, and more trials are needed to ensure safety and determine the interference with other treatments. Overall, while neuromodulation shows promise, more evidence is needed to support its use in the ICU.
- Subjects
PERSISTENT vegetative state; ELECTRIC stimulation; VAGUS nerve stimulation; RETICULAR formation; ACUTE phase reaction; NEURAL stimulation; ARTIFICIAL respiration; COMA
- Publication
Intensive Care Medicine, 2024, Vol 50, Issue 9, p1523
- ISSN
0342-4642
- Publication type
Article
- DOI
10.1007/s00134-024-07561-x