Response of Mechanically Ventilated Respiratory Failure Patients to Respiratory Muscles Training
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- Category: Vol. 82, March 2014
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Response of Mechanically Ventilated Respiratory Failure Patients to Respiratory Muscles Training, AMANY R. MOHAMED, HAMDY M.S. EL BASIOUNY and NAGUIB M. SALEM
Abstract
Background and Purpose: Muscle training represents an important aspect of pulmonary rehabilitation in critically ill patients; it allows facilitating weaning process and helps patients to obtain their maximal functional capacities. The aim of this study was to investigate the response of mechan-ically ventilated respiratory failure patients to respiratory muscle training.
Methodology: Forty mechanically ventilated respiratory failure patients were randomly selected from Cairo University Hospitals (Critical Care Department). The patients were classified equally into study group and control group. Each patient of the study group received both respiratory muscles training using inspiratory muscle training (IMT) and standard chest physiotherapy, while patients of the control group received only standard chest physiotherapy. Pre and post study selected oxygenation parameters, respiratory muscles strength and outcomes parameters were measured for each patient of both groups.
Result: A significant improvement in the study group compared to control group regarding oxygenation, respiratory muscles strength and patient outcome and this improvement was highly significant in PaO2 (108.9±9.5mmHg versus 132.3±11.45mmHg in Group A) and (104.5±5.99mmHg versus 122.85±10.67mmHg in Group B) and respiratory muscles strength parameter p<0.0001.
Conclusion: Respiratory muscles training in addition to standard chest physiotherapy could be a helpful tool to improve oxygenation and secondly outcome in mechanically ventilated respiratory failure patients.