Status:
COMPLETED
Comparison of the Effects of Inspiratory Muscle Training Methods in Mechanically Ventilated Patients
Lead Sponsor:
Saglik Bilimleri Universitesi
Collaborating Sponsors:
Goztepe Prof Dr Suleyman Yalcın City Hospital
SB Goztepe Prof Suleyman Yalcin City Hospital
Conditions:
Mechanical Ventilation
Intensive Care Units
Eligibility:
All Genders
18-80 years
Phase:
NA
Brief Summary
Inspiratory Muscle Training(IMT) increases the strength and endurance of the inspiratory muscles, exercise capacity, quality of life and reduces the perception of dyspnea. It has been reported in the ...
Detailed Description
The intensive care unit (ICU) is the unit where patients with acute and life-threatening organ dysfunction or at risk are treated. Various technologies are used to support organ systems, especially th...
Eligibility Criteria
Inclusion
- ≥18 years of age,
- Hemodynamically stable,
- Alert and conscious(Between -2 and +2 according to Richmond Agitation and Sedation Scale score)
- Perform at least one motor command,
- Requiring mechanical ventilation support either with continuous spontaneous ventilation(CPAP) mode or intermittent mandatory ventilation(SIMV) mode with pressure or volume control(PSV),
- Requiring oxygen ventilation ≤ 40%, Required pressure support ≤ 15 cmH2O, and PEEP ≤ 10 cmH2O,
- Having a body temperature between 36- 38 °C,
- Unable to breathe unsupported for 72 consecutive hours following the resolution of factors supporting respiratory failure,
- Having FiO2 ≤ 0.5, PaO2 \> 60 mmHg, and capable of sufficient gas exchange,
- Patients deemed suitable for pulmonary physiotherapy by intensive care physicians will be included in the study.
Exclusion
- Having an acute onset of illness,
- Impaired cooperation,
- Insufficient level of consciousness due to severe intracranial disease ,
- Having a progressive neuromuscular disease,
- Having an unstable neurological condition,
- Having a psychiatric disorder and exhibiting excessive agitation (patients with Richmond Agitation and Sedation Scale (RASS) ≥ +2),
- Having experienced any trauma to the chest wall,
- Having thoracic deformities that affect respiration,
- Using a high amount of sedative or analgesic agents,
- Participants using home mechanical ventilators prior to hospital admission.
- Criteria for Study Discontinuation:
- Cardiac, pulmonary, and other conditions leading to impaired hemodynamic stability.
- Impaired cooperation, compliance, and motivation.
- Discontinuation by the intensive care physician.
- Participants will be free to withdraw from the study at their discretion.
Key Trial Info
Start Date :
November 1 2023
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
November 15 2024
Estimated Enrollment :
38 Patients enrolled
Trial Details
Trial ID
NCT06046690
Start Date
November 1 2023
End Date
November 15 2024
Last Update
January 23 2025
Active Locations (1)
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1
University of Health Sciences
Istanbul, Turkey (Türkiye), 34353