LACTATE, BLOOD GLUCOSE AND BICARBONATE BEHAVIOR AFTER NEUROMUSCULAR ELECTRICAL STIMULATION IN CRITICALLY ILL PATIENTS: PILOT STUDY
DOI:
https://doi.org/10.25194/rebrasf.v9i2.1441Keywords:
Transcutaneous Electric Nerve Stimulation, Energy Metabolism; Early Ambulation, Intensive Care UnitsAbstract
Neuromuscular Electrical Stimulation (NMES) provides active muscle mobilization even without patient collaboration and can preserve muscle strength, mass and thickness. However, the use of this strategy can activate important metabolic processes in the human body. Objective: Evaluate the behavior of lactate, blood glucose and bicarbonate (HCO3) after an electrostimulation session in critically ill intubated patients with vasoactive drugs. Materials and Methods: It is characterized as a pilot, intervention, prospective and cross-sectional study applied in critically ill intubated patients using vasoactive drugs. Only one application of NMES was used on both quadriceps for 45 minutes. The variables blood glucose, lactate and HCO3 were collected before and after the intervention protocol. Statistical analyzes were treated using the Shapiro Wilk test and variables before and after were compared using the Mann Whitney test. Results: The sample consisted of 7 (seven) patients. Of these, 85.7% were female, with a clinical diagnosis of 85.7%, mean age 61 ± 9.5 years and APACHE II age 29 ± 5.5. Positive glucose changes were observed in 4 (four) patients and lactate negative changes in 4 patients (four), both after NMES. However, there were no significant differences during the application of the protocol. Conclusion: From the analysis of this study, it is suggested that the application of NMES in critically ill patients intubated with vasopressors is a safe and viable early mobilization if safety parameters are respected during application.
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