Weakened inspiratory muscle strength in patients with invasive mechanical ventilation
Conditions
Interventions
Test group:In this study, the inspiratory muscle training was performed by adjusting the trigger value of ventilator pressure combined with external diaphragm pacing. The specific training methods are
Sponsors
Shandong First Medical University affiliated Provincial Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients with tracheal intubation via oral route; 2. The age of the patients was > 18 years old; 3. Invasive mechanical ventilation time > 24h; 4. The patient's hemodynamics were relatively stable [respiratory system: FiO2 = 88%, no man-machine confrontation during ventilator treatment; circulatory system: 90mmHg <= SBP <= 180mmHg or/and DBP <= 110mmHg, 65mmHg <= MAP <= 110mmHg, 40 <= HR <= 120, using a small dose of vasoactive drug supporters, Such as dopamine <= 10mg /(kg·min) or norepinephrine/epinephrine <= 0.1 mg /(kg·min), no new myocardial ischemia or arrhythmia; nervous system: no neuromuscular injury, -2 <= RASS <= +1, intracranial pressure < 20cmH2O]; 5. Patients with clear awareness can cooperate with training; 6. Volunteer to participate in this study
Exclusion criteria
Exclusion criteria: 1. Pregnancy status; 2. Patients with mental disorders or cognitive dysfunction; 3. in the terminal stage of disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum inspiratory pressure; | — |
Secondary
| Measure | Time frame |
|---|---|
| Diaphragm thickness;Diaphragm movement; | — |
Countries
China
Contacts
Public ContactLijuan Yang
Shandong First Medical University affiliated Provincial Hospital
Outcome results
None listed