Figure 1. Study flowchart and the number of patients studied.
| Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
| Journal website http://www.jocmr.org |
Original Article
Volume 9, Number 11, November 2017, pages 929-934
Inspiratory Muscle Training in the Intensive Care Unit: A New Perspective
Figure
Tables
| Criteria | Requirements |
|---|---|
| Age | > 18 years old |
| Partial arterial oxygen tension | > 60 mm Hg |
| Fraction of inspired oxygen | ≤ 0.6 |
| Oxygen saturation index | ≥ 100 |
| Mean arterial pressure | ≥ 80 mm Hg ≤ 110 mm Hg |
| Analgesia and sedation | Without analgesia/sedation more than 24 h |
| Ventilatory modality | Assisted/controlled or spontaneous |
| Pressure support ventilation | ≥ 10 cm H2O |
| Positive end-expiratory pressure | ≤ 10 cm H2O |
| Respiratory rate | ≤ 30 breaths/min |
| Arterial oxygen saturation | ≥ 90% |
| Body temperature | ≥ 36.5 °C ≤ 38.5 °C |
| Body mass index | ≤ 40 kg/m2 |
| Demographics | INP group (N = 8) | EIMT group (N = 11) |
|---|---|---|
| INP: intermittent nebulization program; EIMT: electronic inspiratory muscle training; N: number of patients; TI: tracheal intubation; SD: standard deviation; APACHE II: acute physiology and chronic health disease classification system II; SOFA: sequential organ failure assessment. | ||
| Median age (years) | 46.5 | 58.0 |
| Gender | ||
| Male | N = 7 | N = 8 |
| Female | N = 1 | N = 3 |
| TI rationale | ||
| Respiratory failure | N = 4 | N = 4 |
| Decrease in consciousness level | N = 3 | N = 5 |
| Post-operative complications | N = 1 | N = 2 |
| Mean ± SD | Mean ± SD | |
| APACHE II | 20.2 ± 7.2 | 20.9 ± 5.4 |
| SOFA | 7.7 ± 4.4 | 7.13 ± 5.8 |
| INP group | EIMT group | |||
|---|---|---|---|---|
| Before | After | Before | After | |
| INP: intermittent nebulization program; EIMT: electronic inspiratory muscle training; MIP: maximal inspiratory pressure; RSBI: rapid shallow breathing index. | ||||
| RSBI (cycles/min/L) | 97 ± 47 | 80 ± 34 | 49 ± 16 | 48 ± 10 |
| P = 0.49 | P = 0.249 | |||
| MIP (cm H2O) | 43 ± 16 | 53 ± 19 | 54 ± 20 | 61 ± 17 |
| P = 0.304 | P = 0.017 | |||