Mechanical ventilation weaning in inclusion body myositis: feasibility of isokinetic inspiratory muscle training as an adjunct therapy.
Leonardo Cordeiro de SouzaJosué Felipe CamposLeandro Possidente DaherPriscila Furtado da SilvaAlex VenturaPollyana Zamborlini do PradoDaniele BrasilDebora MendonçaJocemir Ronaldo LugonPublished in: Case reports in critical care (2014)
Inclusion body myositis is a rare myopathy associated with a high rate of respiratory complications. This condition usually requires prolonged mechanical ventilation and prolonged intensive care stay. The unsuccessful weaning is mainly related to respiratory muscle weakness that does not promptly respond to immunosuppressive therapy. We are reporting a case of a patient in whom the use of an inspiratory muscle-training program which started after a two-week period of mechanical ventilation was associated with a successful weaning in one week and hospital discharge after 2 subsequent weeks.
Keyphrases
- mechanical ventilation
- acute respiratory distress syndrome
- intensive care unit
- skeletal muscle
- respiratory failure
- interstitial lung disease
- myasthenia gravis
- extracorporeal membrane oxygenation
- case report
- emergency department
- randomized controlled trial
- clinical trial
- late onset
- rheumatoid arthritis
- adverse drug
- systemic sclerosis
- placebo controlled
- cell therapy
- drug induced
- study protocol
- preterm birth
- smoking cessation