Table 2—

Criteria for accepting twitch responses for analysis.

For stimulations performed at relaxed functional residual capacity
 No change in end-expiratory lung volume from resting functional residual capacity value, as reflected by esophageal pressure signal, immediately after stimulation
 Relaxation of the diaphragm, as signalled by diaphragmatic electromyography activity
For stimulations performed at relaxed functional residual capacity and during the maximal inspiratory manoeuvres
 Absence of oesophageal peristalsis at time of twitch stimulation
 <20% variability in amplitude of CDAP of either hemidiaphragm
 Absence of electrocardiogram superimposition on CDAP
  • Adapted from 16

  • CDAP: compound diaphragmatic action potential