INSPIRATORY MUSCLE TRAINING ADJUNCT IN THE TREATMENT OF WEANING FAILURE? Rik Gosselink, Bieke Clerckx , Paulo Magelhaes , Bregje Frickx , Johan Segers, Else Merckx , Inge Demeyere , Daniel Langer University Hospitals Leuven Department Rehabilitation Sciences Faculty of Kinesiology and Rehabilitation Sciences KU Leuven Belgium
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INSPIRATORY MUSCLE TRAINING - Mobilization-network
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Howdotheseresults affectour clinicalpractice inpatients with weaning failure?
l Inspiratory muscle weakness is associated with weaning failure:Assess muscle strength
lWhen weakness is present: discuss its potential importance inthe weaning failure and the application of IMT
l Apply IMT strength training: limited number of higher intensitycontractions, control of cardiorespiratory response, symptoms,rest period between series allows continuation of mode ofventilatory support
l Support and feedback to the patient during the training sessionis essential and the basis for progressing the training over time.
CONCLUSIONSl Weaning failure is a multifactorial clinical condition
l Inspiratory muscle weakness is associated with weaningfailure
l Inspiratory muscle training is not effective as apreventive measure during mechanical ventilation
l Inspiratory muscle training has been shown, as anadjunct to the treatment of weaning failure, to improveclinical outcome in patients with weaning failure.
l Future challenges: patient selection and assessment,training modality, feedback during the training forpatient and supervisor