Evidence map›Paper›PMID 29038671›Full record

ArticleJournal of clinical medicine research2017

Inspiratory Muscle Training in the Intensive Care Unit: A New Perspective.

Rodrigo Marques Tonella, Ligia Dos Santos Roceto Ratti, Lilian Elisabete Bernardes Delazari, Carlos Fontes Junior, Paula Lima Da Silva, Aline Ribeiro Da Silva Herran, Daniela Cristina Dos Santos Faez, Ivete Alonso Bredda Saad, Luciana Castilho De Figueiredo, Rui Moreno and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical medicine research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04347317 (Can High Intensity Inspiratory Muscle Training Improve Inspiratory Muscle Strength and Accelerate Weaning in Medical Patients With Difficulty on Weaning Admitted in the Intensive Care Unit?), which is not on this map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04347317 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Can High Intensity Inspiratory Muscle Training Improve Inspiratory Muscle Strength and Accelerate Weaning in Medical Patients With Difficulty on Weaning Admitted in the Intensive Care Unit?

TypeinterventionalSponsorHospital Universitari Vall d'Hebron Research InstituteRan2021 to 2021Enrolled40ConditionsWeaning FailureArmsLow Intensity IMT, High Intensity IMT
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
  8. Article
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  12. Article
  13. Respiratory muscle dysfunction in acute and chronic respiratory failure: how to diagnose and how to treat?European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  14. Article
  15. Article
  16. Managing respiratory muscle weakness during weaning from invasive ventilation.European respiratory review : an official journal of the European Respiratory Society · 2023
    Article
  17. Article
  18. Review
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Rodrigo Marques TonellaSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Ligia Dos Santos Roceto RattiSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Lilian Elisabete Bernardes DelazariSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Carlos Fontes JuniorSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Paula Lima Da SilvaSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Aline Ribeiro Da Silva HerranSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Daniela Cristina Dos Santos FaezSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Ivete Alonso Bredda SaadSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Luciana Castilho De FigueiredoSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Rui MorenoNeurological Intensive Care Unit, Sao Jose Hospital, Lisboa, Portugal.
Desanka DragosvacSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, Department of Surgery, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.
Antonio Luis Eiras FalcaoSchool of Medical Sciences, Intensive Care Unit of Clinical Hospital, Department of Surgery, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged use of mechanical ventilation (MV) leads to weakening of the respiratory muscles, especially in patients subjected to sedation, but this effect seems to be preventable or more quickly reversible using respiratory muscle training. The aims of the study were to assess variations in respiratory and hemodinamic parameters with electronic inspiratory muscle training (EIMT) in tracheostomized patients requiring MV and to compare these variations with those in a group of patients subjected to an intermittent nebulization program (INP).

methodsThis was a pilot, prospective, randomized study of tracheostomized patients requiring MV in one intensive care unit (ICU). Twenty-one patients were randomized: 11 into the INP group and 10 into the EIMT group. Two patients were excluded in experimental group because of hemodynamic instability.

resultsIn the EIMT group, maximal inspiratory pressure (MIP) after training was significantly higher than that before (P = 0.017), there were no hemodynamic changes, and the total weaning time was shorter than in the INP group (P = 0.0192).

conclusionThe EIMT device is safe, promotes an increase in MIP, and leads to a shorter ventilator weaning time than that seen in patients treated using INP.

Indexed as

DiaphragmIntensive careRespiratory insufficiencyVentilator weaning

Identifiers

PMID29038671
PMCPMC5633094

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.