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Inspiratory Muscle Training in the Intensive Care Unit: A New Perspective

dc.contributor.authorTonella, R
dc.contributor.authorRatti, L
dc.contributor.authorDelazari, L
dc.contributor.authorJunior, C
dc.contributor.authorLima da Silva, P
dc.contributor.authorHerran, A
dc.contributor.authordos Santos Faez, D
dc.contributor.authorSaad, I
dc.contributor.authorCastilho de Figueiredo, L
dc.contributor.authorMoreno, R
dc.contributor.authorDragosvac, D
dc.contributor.authorFalcao, A
dc.date.accessioned2018-08-07T10:36:39Z
dc.date.available2018-08-07T10:36:39Z
dc.date.issued2017-11
dc.description.abstractBACKGROUND: Prolonged use of mechanical ventilation (MV) leads to weakening of the respiratory muscles, especially in patients subjected to sedation, but this effect seems to be preventable or more quickly reversible using respiratory muscle training. The aims of the study were to assess variations in respiratory and hemodinamic parameters with electronic inspiratory muscle training (EIMT) in tracheostomized patients requiring MV and to compare these variations with those in a group of patients subjected to an intermittent nebulization program (INP). METHODS: This was a pilot, prospective, randomized study of tracheostomized patients requiring MV in one intensive care unit (ICU). Twenty-one patients were randomized: 11 into the INP group and 10 into the EIMT group. Two patients were excluded in experimental group because of hemodynamic instability. RESULTS: In the EIMT group, maximal inspiratory pressure (MIP) after training was significantly higher than that before (P = 0.017), there were no hemodynamic changes, and the total weaning time was shorter than in the INP group (P = 0.0192). CONCLUSION: The EIMT device is safe, promotes an increase in MIP, and leads to a shorter ventilator weaning time than that seen in patients treated using INP.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Clin Med Res. 2017 Nov;9(11):929-934.pt_PT
dc.identifier.doi10.14740/jocmr3169wpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3020
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElmer Presspt_PT
dc.subjectCHLC UCIpt_PT
dc.subjectDiaphragmpt_PT
dc.subjectRespiratory Insufficiencypt_PT
dc.subjectVentilator Weaningpt_PT
dc.subjectIntensive Carept_PT
dc.titleInspiratory Muscle Training in the Intensive Care Unit: A New Perspectivept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage934pt_PT
oaire.citation.issue11pt_PT
oaire.citation.startPage929pt_PT
oaire.citation.titleJournal of Clinical Medicine Researchpt_PT
oaire.citation.volume9pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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