Inspiratory muscle strength training in infants with congenital heart disease and prolonged mechanical ventilation: a case report.

ABSTRACT:

Background and purpose

Inspiratory muscle strength training (IMST) has been shown to improve maximal pressures and facilitate ventilator weaning in adults with prolonged mechanical ventilation (MV). The purposes of this case report are: (1) to describe the rationale for IMST in infants with MV dependence and (2) to summarize the device modifications used to administer training.

Case description

Two infants with congenital heart disease underwent corrective surgery and were referred for inspiratory muscle strength evaluation after repeated weaning failures. It was determined that IMST was indicated due to inspiratory muscle weakness and a rapid, shallow breathing pattern. In order to accommodate small tidal volumes of infants, 2 alternative training modes were devised. For in

SUBMITTER: Smith BK 

PROVIDER: S-EPMC3563028 | biostudies-literature | 2013 Feb

REPOSITORIES: biostudies-literature