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A Randomized, Controlled Trial of Inspiratory Muscle Training (IMT)in the ICU and CCU

Not Applicable
Completed
Conditions
Critically Ill
Respiratory Failure
Interventions
Device: Inspiratory Muscle Trainer
Registration Number
NCT02003053
Lead Sponsor
Wake Forest University Health Sciences
Brief Summary

Inspiratory muscle training (IMT) is an intervention used with success in the outpatient setting within the COPD population. Use of IMT is also theoretically possible during mechanical ventilation. This study will will assess the feasibility and safety of the study of IMT in the patient population.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
7
Inclusion Criteria
  • Mechanically ventilated patients.
  • Must have passed spontaneuos brething trial screening but failed the trial itself.
  • Potential subject must be able to perform atleast 5 minutes of spontaneous breathing trial.
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Exclusion Criteria
  • Known neuromuscular disease
  • Unstable cardiac ischemia
  • Tracheostomized patients
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
IMTInspiratory Muscle TrainerIn the IMT group, inspiratory muscle training will start with 30% of MIP, for five minutes twice a day with increments of 10 % (absolute) everyday. Supplemental oxygen will be given as needed. The exercise will be done seven days a week until patient achieves liberation from mechanical ventilation or ICU/CCU discharge.
ShamInspiratory Muscle TrainerIn the SHAM group, sham device will be used to train subjects 5 minutes twice a day, seven days a week until patient achieves liberation from mechanical ventilation or ICU/CCU discharge.
Primary Outcome Measures
NameTimeMethod
Safety and Feasibility of Inspiratory Muscle TrainingBaseline and until participant is extubated or discharged from the critical care unit (up to 1 month post-baseline)

The number of patients tolerating Inspiratory Muscle Training or Sham.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Wake Forest Baptist Medical Center

🇺🇸

Winston-Salem, North Carolina, United States

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