Skip to main navigation menu Skip to main content Skip to site footer
##common.pageHeaderLogo.altText##

Review

Vol. 1 No. 1 (2022): January 2022

The Implementation of Inspiratory Muscle Training to Enhance Weaning from Mechanical Ventilation: A Systematic Literature Review

DOI
https://doi.org/10.55048/jpns.v1i1.3
Published
2022-01-22

Abstract

Background: Mechanical ventilation is very important for the world of critical care. However, the use of mechanical ventilation also affected respiratory muscle weakness.

Objective: The purpose of this study was to identify the implementation of Inspiratory muscle training for weaning mechanical ventilation in patients with mechanical ventilation in the Intensive Care Unit.

Design: A systematic literature review study design was used.

Data Sources: The databases used are CINAHL, PubMed, MEDLINE, Sage Journal, and ScienceDirect.

Review Methods: Articles published from 2009-2020 with the type of randomized research-controlled trial (RCT) in English. The keywords "Inspiratory Muscle Exercise", "Inspiratory Muscle Training", "weaning", "mechanically ventilated", "critical care", and "intensive care".

Results: From four articles analyzed, we found an effect of inspiratory muscle training on ventilator weaning, which was carried out on therapy five times a week, and some were carried out for seven days for two weeks and increased respiratory muscle strength.

Conclusion: Inspiratory muscle training in mechanically ventilated patients is a nursing intervention that requires evidence-based preparation of guidelines to provide best practice. The optimalization of inspiratory muscles exercise can help the weaning process and be implemented further.

References

  1. Bissett, B., Leditschke, I. A., Paratz, J. D., & Boots, R. J. (2012). Respiratory dysfunction in ventilated patients: can inspiratory muscle training help? Anaesth Intensive Care, 40(2), 236-246. https://doi.org/10.1177/0310057X1204000205
  2. Bissett, B. M., Leditschke, I. A., Neeman, T., Boots, R., & Paratz, J. (2016). Inspiratory muscle training to enhance recovery from mechanical ventilation: a randomised trial. Thorax, 71(9), 812. https://doi.org/10.1136/thoraxjnl-2016-208279
  3. Boswell-Ruys, C. L., Lewis, C. R. H., Wijeysuriya, N. S., McBain, R. A., Lee, B. B., McKenzie, D. K., Gandevia, S. C., & Butler, J. E. (2020). Impact of respiratory muscle training on respiratory muscle strength, respiratory function and quality of life in individuals with tetraplegia: a randomised clinical trial. Thorax, 75(3), 279. https://doi.org/10.1136/thoraxjnl-2019-213917
  4. Cabrita, B., Dias, S., Fernandes, A. L., Correia, S., Ferreira, J., & Simao, P. (2021). Inspiratory muscle training in neuromuscular patients: Assessing the benefits of a novel protocol. J Back Musculoskelet Rehabil, 34(4), 537-543. https://doi.org/10.3233/BMR-200141
  5. Chiu, K. L., Hsieh, P. C., Wu, C. W., Tzeng, I. S., Wu, Y. K., & Lan, C. C. (2020). Exercise training increases respiratory muscle strength and exercise capacity in patients with chronic obstructive pulmonary disease and respiratory muscle weakness. Heart Lung, 49(5), 556-563. https://doi.org/10.1016/j.hrtlng.2020.03.005
  6. Condessa, R. L., Brauner, J. S., Saul, A. L., Baptista, M., Silva, A. C. T., & Vieira, S. R. R. (2013). Inspiratory muscle training did not accelerate weaning from mechanical ventilation but did improve tidal volume and maximal respiratory pressures: a randomised trial. Journal of physiotherapy, 59(2), 101-107. https://doi.org/10.1016/S1836-9553(13)70162-0
  7. Giusti, S., Chazin, S., Vaitla, P., Atiemo, K., Atari, M., Paramesh, A., Jeon, H., Torres-Ortiz, A., Thimmisetty, R., & Garces, J. (2021). Observational Study of the Clinical Characteristics and Short-Term Outcomes of Kidney Transplant Recipients Diagnosed With COVID-19 Infection (SARS-CoV-2) Requiring Hospitalization in New Orleans. Ochsner J, 21(4), 329-334. https://doi.org/10.31486/toj.21.0008
  8. Gupte, V., Hegde, R., Sawant, S., Kalathingal, K., Jadhav, S., Malabade, R., & Gogtay, J. (2022). Safety and clinical outcomes of remdesivir in hospitalised COVID-19 patients: a retrospective analysis of active surveillance database. BMC Infect Dis, 22(1), 1. https://doi.org/10.1186/s12879-021-07004-8
  9. Han, Y. J., Lee, J., Sohn, D. G., Park, G. Y., Kim, Y., Park, H. Y., Jung, S. A., & Im, S. (2020). Cut-off Values of the Respiratory Muscle Power and Peak Cough Flow in Post-Stroke Dysphagia. Medicina (Kaunas), 56(12). https://doi.org/10.3390/medicina56120635
  10. Hoffman, M., Van Hollebeke, M., Clerckx, B., Muller, J., Louvaris, Z., Gosselink, R., Hermans, G., & Langer, D. (2018). Can inspiratory muscle training improve weaning outcomes in difficult to wean patients? A protocol for a randomised controlled trial (IMweanT study). BMJ OPEN, 8(6), e021091. https://doi.org/10.1136/bmjopen-2017-021091
  11. Martin, A. D., Smith, B. K., Davenport, P. D., Harman, E., Gonzalez-Rothi, R. J., Baz, M., Layon, A. J., Banner, M. J., Caruso, L. J., Deoghare, H., Huang, T.-T., & Gabrielli, A. (2011). Inspiratory muscle strength training improves weaning outcome in failure to wean patients: a randomized trial. Critical Care, 15(2), R84. https://doi.org/10.1186/cc10081
  12. Spiesshoefer, J., Orwat, S., Henke, C., Kabitz, H. J., Katsianos, S., Borrelli, C., Baumgartner, H., Nofer, J. R., Spieker, M., Bengel, P., Giannoni, A., Dreher, M., Boentert, M., & Diller, G. P. (2020). Inspiratory muscle dysfunction and restrictive lung function impairment in congenital heart disease: Association with immune inflammatory response and exercise intolerance. Int J Cardiol, 318, 45-51. https://doi.org/10.1016/j.ijcard.2020.06.055
  13. Syabbalo, N. (1998). Respiratory muscle function in patients with neuromuscular disorders and cardiopulmonary diseases. Int J Clin Pract, 52(5), 319-329. https://www.ncbi.nlm.nih.gov/pubmed/9796564
  14. Tanriverdi, A., Kahraman, B. O., Ozsoy, I., Ozpelit, E., & Savci, S. (2021). Acute effects of inspiratory muscle training at different intensities in healthy young people. Ir J Med Sci, 190(2), 577-585. https://doi.org/10.1007/s11845-020-02353-w
  15. Walsh, L. J., Deasy, K. F., Gomez, F., O’Sullivan, E., Eustace, J., Ryan, A. M., & Murphy, D. M. (2021). Use of non-invasive ventilation in motor neuron disease - a retrospective cohort analysis. Chron Respir Dis, 18, 14799731211063886. https://doi.org/10.1177/14799731211063886

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...