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Review: A Clinical Application of Exercise Physiology and Nutritional Support for the Mechanically Ventilated Patient
Author(s) -
Mcmahon M. Molly,
Benotti Peter N.,
Bistrian Bruce R.
Publication year - 1990
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607190014005538
Subject(s) - mechanical ventilation , intensive care medicine , medicine , respiratory physiology , malnutrition , ventilation (architecture) , weaning , critically ill , respiratory system , mechanical ventilator , physical therapy , anesthesia , mechanical engineering , engineering
A challenging problem facing the clinician is the management of critically ill patients in whom repeated attempts at weaning from mechanical ventilation are unsuccessful. The difficulty weaning these patients from the ventilator can be augmented in the presence of detraining of respiratory muscles, malnutrition, stress and the metabolic response to iniury, and/or immobilization. An understanding of basic concepts of established tenets of exercise physiology and of nutritional support will allow their application to respiratory muscle function with the goal of facilitating the endurance and strength of respiratory muscles needed to sustain spontaneous ventilation. (Journal of Parenteral and Enteral Nutrition 14: 538–542, 1990)