Effect of Personalized Inspiratory Muscle Training on Decannulation Time in Adults with Tracheostomy from Prolonged Mechanical Ventilation

What this Trial Is About

This research aims to evaluate the effects of a personalized inspiratory muscle training program on patients with tracheostomy due to prolonged mechanical ventilation. It focuses on improving maximum inspiratory pressure, diaphragm thickness fraction, and shortening the time needed to remove the tracheostomy tube. The study compares two groups of adult patients one receiving this special muscle training combined with standard physiotherapy, and a control group receiving only standard physiotherapy with guided weaning from mechanical ventilation. The goal is to optimize patient care, reduce hospital stays and costs, and enhance quality of life. Participants in the experimental group will follow an individualized inspiratory muscle training program combining strength and endurance exercises for 14 days alongside standard physiotherapy. The control group will follow the usual weaning protocol, starting with shorter mechanical ventilation disconnection periods and gradually increasing them, plus training at 50% of their maximum inspiratory pressure after weaning. The intervention adjusts training based on patients respiratory status, with evaluations replacing training sessions as needed to avoid overexertion. During the study, patients will be monitored for respiratory muscle strength, diaphragm thickness, and diaphragm movement over two weeks. Researchers will also track the time to successful decannulation, length of ICU and hospital stays, and quality of life through surveys. Safety criteria include suspending training if patients show signs of respiratory distress. Overall participation lasts at least two weeks, with ongoing assessments to measure treatment impact and patient progress.

Assessment of the Effect of an Inspiratory Muscle Training Regimen on Decannulation Time in Tracheostomized Subjects