Specific inspiratory muscle training is safe in selected patients who are ventilator-dependent: a case series

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
Bernie BissettMargot Green

Abstract

Mechanical ventilation of intensive care patients results in inspiratory muscle weakness. Inspiratory muscle training may be useful, but no studies have specifically described the physiological response to training. Is inspiratory muscle training with a threshold device safe in selected ventilator-dependent patients? Does inspiratory muscle strength increase with high-intensity inspiratory muscle training in ventilator-dependent patients? Prospective cohort study of 10 medically stable ventilator-dependent adult patients. Tertiary adult intensive care unit. Inspiratory muscle training 5-6 days per week with a threshold device attached to the tracheostomy without supplemental oxygen. Physiological response to training (heart rate, mean arterial pressure, oxygen saturation and respiratory rate), adverse events, training pressures. No adverse events were recorded in 195 sessions studied. For each patient's second training session, no significant changes in heart rate (Mean Difference 1.3 bpm, 95% CI -2.7 to 5.3), mean arterial pressure (Mean Difference -0.9 mmHg, 95% CI -6.4 to 4.6), respiratory rate (Mean Difference 1.2 bpm, 95% CI -1.1 to 3.5 bpm) or oxygen saturation (Mean Difference 1.2%, 95% CI -0.6 to 3.0) were detected Trai...Continue Reading

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Citations

Jul 1, 2014·Revista portuguesa de pneumologia·P NavalesiM Kubitschek
May 23, 2013·Respiratory Physiology & Neurobiology·A Daniel MartinAndrea Gabrielli
Feb 6, 2018·The Journal of Spinal Cord Medicine·Tony McDonald, Kathy Stiller
Feb 7, 2019·Voprosy kurortologii, fizioterapii, i lechebnoĭ fizicheskoĭ kultury·Yu A ArgunovaO L Barbarash
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Sep 12, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Ellie HearnBernie Bissett

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