Esther Cecilia Wilches-Luna , José Julián Bernal-Sánchez , Jenny Marcela Arias Campo , Andrés Fabricio Caballero-Lozada
{"title":"接受呼吸式肌肉训练（EMI）的通气患者的横膈膜超声和最大吸气压力（PiMax）：一系列病例","authors":"Esther Cecilia Wilches-Luna , José Julián Bernal-Sánchez , Jenny Marcela Arias Campo , Andrés Fabricio Caballero-Lozada","doi":"10.1016/j.acci.2024.08.010","DOIUrl":null,"url":null,"abstract":"<div><div>A series of 5 cases of patients in the Intensive Care Unit (ICU) undergoing measurements of Maximal Inspiratory Muscle Strength (MIP), Diaphragmatic Excursion (DE), and Diaphragm Thickening Fraction (TFdi) is described. These measurements were taken within the first 24<!--> <!-->hours of mechanical ventilation (MV) initiation and at 72<!--> <!-->hours of ventilatory support.</div><div>Inspiratory Muscle Training (IMT) was applied using the Threshold IMT device (Philips Respironics Threshold IMT, Koninklijke Philips N.V.). IMT was conducted twice daily for 7 days, supervised by specialized physiotherapists, with monitoring of physiological parameters. Clinical outcomes for the 5 cases indicate a positive progression in terms of weaning from MV, improvement in muscular strength, and diaphragmatic amplitude.</div><div>Aspects related to IMT, results from ultrasonographic measurements, and MIP are described. An increase in MIP was observed in 3 cases (10.5%-34.6%), while 4 cases exhibited an augmentation in TFdi and DE. These findings suggest that IMT may have positive effects on respiratory function in ICU patients.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 194-200"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ultrasonografía diafragmática y presión inspiratoria máxima (PiMáx) en pacientes ventilados que recibieron entrenamiento muscular inspiratorio (EMI): serie de casos\",\"authors\":\"Esther Cecilia Wilches-Luna , José Julián Bernal-Sánchez , Jenny Marcela Arias Campo , Andrés Fabricio Caballero-Lozada\",\"doi\":\"10.1016/j.acci.2024.08.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>A series of 5 cases of patients in the Intensive Care Unit (ICU) undergoing measurements of Maximal Inspiratory Muscle Strength (MIP), Diaphragmatic Excursion (DE), and Diaphragm Thickening Fraction (TFdi) is described. These measurements were taken within the first 24<!--> <!-->hours of mechanical ventilation (MV) initiation and at 72<!--> <!-->hours of ventilatory support.</div><div>Inspiratory Muscle Training (IMT) was applied using the Threshold IMT device (Philips Respironics Threshold IMT, Koninklijke Philips N.V.). IMT was conducted twice daily for 7 days, supervised by specialized physiotherapists, with monitoring of physiological parameters. Clinical outcomes for the 5 cases indicate a positive progression in terms of weaning from MV, improvement in muscular strength, and diaphragmatic amplitude.</div><div>Aspects related to IMT, results from ultrasonographic measurements, and MIP are described. An increase in MIP was observed in 3 cases (10.5%-34.6%), while 4 cases exhibited an augmentation in TFdi and DE. These findings suggest that IMT may have positive effects on respiratory function in ICU patients.</div></div>\",\"PeriodicalId\":100016,\"journal\":{\"name\":\"Acta Colombiana de Cuidado Intensivo\",\"volume\":\"25 1\",\"pages\":\"Pages 194-200\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Colombiana de Cuidado Intensivo\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S012272622400079X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Colombiana de Cuidado Intensivo","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S012272622400079X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Ultrasonografía diafragmática y presión inspiratoria máxima (PiMáx) en pacientes ventilados que recibieron entrenamiento muscular inspiratorio (EMI): serie de casos
A series of 5 cases of patients in the Intensive Care Unit (ICU) undergoing measurements of Maximal Inspiratory Muscle Strength (MIP), Diaphragmatic Excursion (DE), and Diaphragm Thickening Fraction (TFdi) is described. These measurements were taken within the first 24 hours of mechanical ventilation (MV) initiation and at 72 hours of ventilatory support.
Inspiratory Muscle Training (IMT) was applied using the Threshold IMT device (Philips Respironics Threshold IMT, Koninklijke Philips N.V.). IMT was conducted twice daily for 7 days, supervised by specialized physiotherapists, with monitoring of physiological parameters. Clinical outcomes for the 5 cases indicate a positive progression in terms of weaning from MV, improvement in muscular strength, and diaphragmatic amplitude.
Aspects related to IMT, results from ultrasonographic measurements, and MIP are described. An increase in MIP was observed in 3 cases (10.5%-34.6%), while 4 cases exhibited an augmentation in TFdi and DE. These findings suggest that IMT may have positive effects on respiratory function in ICU patients.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
