Use of Inspiratory Strength Training to Wean Six Patients Who Were Ventilator-Dependent

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Use of inspiratory muscle strength training to facilitate ventilator weaning: a series of 10 consecutive patients.

BACKGROUND AND PURPOSE We instituted a low-repetition, high-intensity inspiratory muscle strength training (IMST) program and progressively longer spontaneous breathing periods (SBPs) in a group of medically complex patients who were dependent on mechanical ventilation (MV) and had failed to wean. CASE DESCRIPTIONS IMST was provided to 10 consecutive patients (four men, six women; mean [+/- S...

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Inspiratory muscle strength training improves weaning outcome in failure to wean patients: a randomized trial

INTRODUCTION Most patients are readily liberated from mechanical ventilation (MV) support, however, 10% - 15% of patients experience failure to wean (FTW). FTW patients account for approximately 40% of all MV days and have significantly worse clinical outcomes. MV induced inspiratory muscle weakness has been implicated as a contributor to FTW and recent work has documented inspiratory muscle we...

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Outcomes of children with severe bronchopulmonary dysplasia who were ventilator dependent at home.

OBJECTIVE To describe the incidence and outcomes of children with chronic respiratory failure secondary to severe bronchopulmonary dysplasia (BPD) on chronic positive pressure ventilation (PPV) via tracheostomy at home. METHODS We retrospectively reviewed medical charts of patients with severe BPD who were PPV dependent at home and who were enrolled in a university-affiliated home ventilator ...

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Inspiratory muscle training increases inspiratory muscle strength in patients weaning from mechanical ventilation: a systematic review.

QUESTION Does inspiratory muscle training improve inspiratory muscle strength and endurance, facilitate weaning, improve survival, and reduce the rate of reintubation and tracheostomy in adults receiving mechanical ventilation? DESIGN Systematic review of randomised or quasi-randomised controlled trials. PARTICIPANTS Adults over 16 years of age receiving mechanical ventilation. INTERVENTI...

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A Review of Effects of Inspiratory Muscle Training on Clinical and Functional Outcomes of Patients with Mechanical Ventilation

Background and Objectives: This review aims to explore the use of inspiratory muscle training (IMT) in patients with mechanical ventilation (MV). The topics were related to its effect on the duration of MV or weaning, respiratory symptoms or lung function, inspiratory muscle strength (IMS) or endurance, functional ability, and quality of life (QoL).  Methods: Articles published in the last 10 ...

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ژورنال

عنوان ژورنال: Physical Therapy

سال: 2003

ISSN: 0031-9023,1538-6724

DOI: 10.1093/ptj/83.2.171