Effect of Inspiratory Muscle Training on Ventilated Patients in an Intensive Care Unit
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Critically Ill, Subacute Adult Patients
- Sponsor
- Chang Gung University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Number of days until liberation from mechanical ventilation
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The goal of this clinical trial is to learn if inspiratory muscle training facilite the liberation of mechanical ventilation. The main questions it aims to answer are:
Does inspiratory muscle training facilitate weaning from mechanical ventilation and enhance muscle strength in critically ill, subacute adult patients?
The main questions it aims to answer are:
Does pulmonary rehabilitation facilitate wwaning form mechanical patients? Does the intervention improve respiratory muscle strength and respiratory patterns?
Participants received:
Inspriatory muscle training twice daily for three consecutive weeks or until the subject no longer required ventilator support.
Detailed Description
Patients on mechanical ventilation often experience rapid diaphragm atrophy on the second day, resulting in muscle fiber changes, respiratory muscle weakness. Clinical studies have explored enhancing diaphragm and respiratory muscle strength and endurance through inspiratory muscle, expiratory muscle, and combined respiratory muscle training. This study was to determine if inspiratory muscle training significantly facilitates liberation from mechanical ventilation and improves muscle strength when compared to without IMT among subacute critically ill adult patients.
Investigators
Hui-Ling Lin
Professor
Chang Gung University
Eligibility Criteria
Inclusion Criteria
- •requiring invasive mechanical ventilation for 2 days in an ICU
Exclusion Criteria
- •hemodynamic instability (heart rate 120 beats/min, unstable blood pressure, vasopressor infusion)
- •inadequate oxygenation (PEEP 8 cmH2O, FiO2 50%)
- •body temperature 38.5°C
- •use of sedative infusion
- •steroid administration
- •home ventilator use before ICU admission
Outcomes
Primary Outcomes
Number of days until liberation from mechanical ventilation
Time Frame: Three weeks
A record of the number of days until liberation from mechanical ventilation.
Secondary Outcomes
- Peak inspiratory flow(Three weeks)
- Maximum inspiratory pressure(Three weeks)
- Maximum expiratory pressure(Three weeks)
- Peak expiratory flow(Three weeks)
- Rapid Shallow breathing index(Three weeks)