Effect of Abdominal Weight Training Assisted by Cough Assist Machine on Lung Function in the Patients With Prolonged Mechanical Ventilation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- PMV
- Sponsor
- Liu Shih Feng
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Maximum inspiratory pressure change by the intervention
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The patients with prolonged mechanical ventilation (PMV) have the risk of ineffective coughing and infection due to diaphragm weakness, making it more difficult to wean. This study aimed to explore the intervention of abdominal weight training (AWT) with/ without cough machine (CM) on lung function, respiratory muscle strength and cough ability in these patients.
Detailed Description
Methods 40 patients with PMV were randomly assigned to three groups: AWT group (n=12), AWT+CM group (n=14) and control group (n=14). The effectiveness on pulmonary function, respiratory muscle strength and cough ability were compared among these three groups.
Investigators
Liu Shih Feng
Chief of department of respiratory therapy in Kaohsiung CGMH
Chang Gung Memorial Hospital
Eligibility Criteria
Inclusion Criteria
- •(1) Invasive ventilator users,
- •(2) Hemodynamically stable,
- •(3) Intubated endotracheal tube or tracheotomy tube,
- •(4) Clearly conscious and cooperative,
- •(5) Vital capacity (VC) \<10ml/kg
Exclusion Criteria
- •(1) Unconscious or unwilling to sign the informed consent form,
- •(2) No spontaneous breathing,
- •(3) Active bleeding with unstable hemodynamics,
- •(4) Acute infection symptoms,
- •(5) Abdominal distension, digestion problems (including nausea and vomiting),
- •(6) Severe heart failure (ejection fraction ≤ 30%),
- •(7) Unhealed wounds in the chest and abdomen,
- •(8) Bullous emphysema,
- •(9) Sensitive pneumothorax or mediastinal pneumothorax,
- •(10) Recent history of traumatic stress,
Outcomes
Primary Outcomes
Maximum inspiratory pressure change by the intervention
Time Frame: Change between 1 day before and 2 weeks after the intervention
lung function
Maximum expiratory pressure change by the intervention
Time Frame: Change between 1 day before and 2 weeks after the intervention
lung function
Secondary Outcomes
- vital capacity change by the intervention(Change between 1 day before and 2 weeks after the intervention)