Effect of Inspiratory Muscle Training on Weaning Success in Critically Ill Intubated Patients
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چکیده
Weaning from MV is the gradual removal of the ventilatory prosthesis, a different process to extubation, which involves removing the endotracheal tube (MacIntyre et al., 2001). The best moment to start weaning depends on multiple factors. Premature exhubation puts the patient at risk of reintubation and airway trauma. However, prolonged weaning exposes individuals to risk of hospital infection and increases hospitalization costs (C. D. Epstein et al., 2002).
منابع مشابه
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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PURPOSE Invasive mechanical ventilation is associated with complications, and its abbreviation is desirable. The imbalance between increased workload, decreased inspiratory muscle strength and endurance is an important determinant of ventilator dependence. Low endurance may be present due to respiratory muscle atrophy, critical illness, or steroid use. Specific inspiratory muscle training may i...
متن کاملRespiratory dysfunction in ventilated patients: can inspiratory muscle training help?
Respiratory muscle dysfunction is associated with prolonged and difficult weaning from mechanical ventilation. This dysfunction in ventilator-dependent patients is multifactorial: there is evidence that inspiratory muscle weakness is partially explained by disuse atrophy secondary to ventilation, and positive end-expiratory pressure can further reduce muscle strength by negatively shifting the ...
متن کاملCase report: inspiratory muscle training in chronic critically ill patients--a report of two cases.
BACKGROUND AND PURPOSE Inspiratory muscle weakness and fatigue has been documented following prolonged mechanical ventilation despite successful weaning from mechanical ventilation. This report describes the application of inspiratory muscle training in two patients following successful discharge from an intensive care unit (ICU) after prolonged mechanical ventilation. METHODS Both patients u...
متن کاملInspiratory muscle training improves maximal inspiratory pressure and may assist weaning in older intubated patients: a randomised trial.
QUESTIONS Does inspiratory muscle training improve maximal inspiratory pressure in intubated older people? Does it improve breathing pattern and time to wean from mechanical ventilation? DESIGN Randomised trial with concealed allocation and intention-to-treat analysis. PARTICIPANTS 41 elderly, intubated adults who had been mechanically ventilated for at least 48 hr in an intensive care unit...
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تاریخ انتشار 2012