Abstract

Background/Purpose: Prolonged mechanical ventilation produces staggering health care costs and overall poor patient outcomes short and long term. Persistent muscle weakness in the limbs and respiratory muscles contributes to poor long term outcomes. The purpose of this evidence-based analysis is to compare the effects of standard care versus inspiratory or expiratory muscle training on length of ICU stay and time on mechanical ventilation in difficult to wean adult patients on mechanical ventilation. Case Description: A 46-year old previously independent male patient was admitted to the ICU following a decortication and parietal pleurectomy procedure. He initially was intubated for the night following his surgical procedures but was unable to wean after a two and a half week ICU stay and was transferred to a Long Term Acute Care (LTAC) facility. The patient received usual physical therapy interventions including active and passive range of motion exercises and mobilization within his room. Outcomes: The patient did not participate in an inspiratory or expiratory muscle training program during his ICU stay and follow-up data was not available after discharge to the LTAC facility. Evidence from this literature review supports the use of inspiratory or expiratory muscle strength training to improve time to wean from mechanical ventilation and improve outcome measures related to respiratory health. Discussion: The patient may have benefitted from an inspiratory or expiratory muscle training program to encourage weaning from mechanical ventilation. There is limited quality research on inspiratory or expiratory muscle strength training in mechanically ventilated patients making it difficult to synthesize a succinct recommendation for its application. In the studies reviewed, this treatment was considered to be safe for patients on mechanical ventilation. Further quality research is indicated on this topic.

Provenance

Submitted by Kathryn Violet Drinnan (vdrinnan@salud.unm.edu) on 2015-06-24T01:30:41Z No. of bitstreams: 2 Effects of Inspiratory Muscle Training on Weaning from Mechanical Ventilation and ICU Length of Stay.pdf: 1280634 bytes, checksum: c113c256e207a3ed9881e2d4243b25f6 (MD5) Capstone poster.ppt: 693248 bytes, checksum: 0b06845bb1bee15dcd77bb7ffb27db83 (MD5), Made available in DSpace on 2015-06-24T01:30:41Z (GMT). No. of bitstreams: 2 Effects of Inspiratory Muscle Training on Weaning from Mechanical Ventilation and ICU Length of Stay.pdf: 1280634 bytes, checksum: c113c256e207a3ed9881e2d4243b25f6 (MD5) Capstone poster.ppt: 693248 bytes, checksum: 0b06845bb1bee15dcd77bb7ffb27db83 (MD5) Previous issue date: 2015-03

Document Type

Capstone

Comments

Advised by Fred Carey, PT, PhD

Keywords

Ventilator weaning, Inspiratory muscle training, Mechanical ventilation, Respiratory muscle training

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