Inspiratory muscle training to enhance weaning from mechanical ventilation

This report describes the use of specific inspiratory muscle training to enhance weaning from mechanical ventilation in a patient who had failed conventional weaning strategies. A 79-year-old man remained ventilator-dependent 17 days following laparotomy. A program of daily inspiratory muscle traini...

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Bibliographic Details
Published in:Anaesthesia and intensive care 2007-10, Vol.35 (5), p.776-779
Main Authors: BISSETT, B, LEDITSCHKE, I. A
Format: Article
Language:English
Subjects:
Aged
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Artificial respiration
Biological and medical sciences
Breathing Exercises
Case studies
Equipment Design
Exercise
Humans
Male
Medical sciences
Methods
Respiration, Artificial
Respiratory Insufficiency - rehabilitation
Respiratory intensive care
Time Factors
Ventilator Weaning - methods
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Summary:This report describes the use of specific inspiratory muscle training to enhance weaning from mechanical ventilation in a patient who had failed conventional weaning strategies. A 79-year-old man remained ventilator-dependent 17 days following laparotomy. A program of daily inspiratory muscle training was initiated. The mean training threshold increased progressively during the program and simultaneously the periods of unassisted breathing achieved gradually increased. By day 27, mechanical ventilation was no longer required. Inspiratory muscle training can be implemented effectively in the difficult to wean patient and should be considered for patients who have failed conventional weaning strategies.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057x0703500520