TY - JOUR T1 - Is there difference between two inspiratory muscle training in elderly in prolonged weaning?- Pilot study JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2019.PA1152 VL - 54 IS - suppl 63 SP - PA1152 AU - Aurea Ferreira AU - Rodrigo Tonella AU - Lígia Ratti AU - Antônio Falcão AU - Cláudia Barbosa AU - Marcos Moreira AU - Luiz Martins AU - Adria Silva Y1 - 2019/09/28 UR - http://erj.ersjournals.com/content/54/suppl_63/PA1152.abstract N2 - Elderly patients tend to decrease function of immune system and muscular system. The prolonged weaning may occur after mechanical ventilation, thus requiring inspiratory muscle training.Objective: To compare the effects obtained from the inspiratory muscle training by two devices, the Powerbreathe Plus Medic® (mechanical) (G01) and Powerbreathe k5® (electronic)(G02). Method: prospective, randomized study with tracheostomised patients admitted to the Intensive Care Unit, elderly (≥ 60 years), both sexes, hemodynamically stable, without vasoactive drugs and without sedatives. In both groups, inspiratory muscle training was performed twice a day until the patient left mechanical ventilation for more than 48 hours.Results: Twelve elderly patients (63 - 65 years) were randomized. Both groups decreased the Tobin Index (p = 0,0008) after the training protocol and increase of maximum inspiratory pressure. The load imposed in G01 was higher than G02 (23.17 ± 6.79 cmH2O vs 14.20 ± 5.26 cmH2O). The mechanical ventilation time presented in G02 was higher than G01 (27,33 ± 10,11days vs 20,83±12,43 days). However, GO2 had a shorter hospitalization time than G01 (48 ± 21,11 days vs 63,33± 5,19 days).Conclusion: G01 and G02 breathed spontaneously without mechanical ventilation after the training protocols and showed no significant differences between the observed results.Keywords: Intensive Care Units, Weaning; Physiotherapy; Pulmonary Ventilation and Aged.FootnotesCite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA1152.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only). ER -