Can breathing exercises help ICU patients break free from the ventilator?
NCT ID NCT02855619
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This trial tests three different inspiratory muscle training programs in intensive care patients who have failed a first attempt to breathe on their own. The training uses a threshold device to strengthen the diaphragm and other breathing muscles. Researchers compare the programs to see which one best improves inspiratory strength and endurance, aiming to shorten the weaning period and increase the chance of successful ventilator removal.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Inspiratory muscle training using a threshold-based device, performed in three different protocols
- What this could lead to
- If one program proves better, it could offer a standard way to strengthen breathing muscles and help ICU patients leave the ventilator faster.
- What could go wrong
- The trial is small and not blinded, so results may be influenced by expectations. Training may not improve weaning success for all patients, and some may not tolerate the sessions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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92 people
The number who actually took part.
- Started
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Oct 2016
- Finished
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Mar 2020
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient ventilated more than 18h in a controlled mode; * First single breathe trial of 2 hours failure; * Presence of sevrability criterias definied by the European consensus conference in 2007 an usually used: * diminution of the sedfative agents, * Patients with spontaneous beath in VAC mode or patient ventilated in a VSAI-PEP mode, * PaO2/FiO2 ≥150, * Absence d'inotropes ou de vasopresseurs à forte dose ou dose croissante (\<1mg/h), * SaO2 \> 90% with FiO2 ≤ 50%, * PEP ≤ 8cmH2O, * Corporal température between 36°C and 39°C, * Glasgow Score ≥ 8. Exclusion Criteria: * Age \< 18 years ; * medically unstable; * Poor vital pronostic at very short term; * Cardiac arrest with a poor neurological prognostic; * Neuromuscular disease ; * Pneumothorax non drained ; * Tracheostomy ; * Current pregnancy ; * Patients with guardianship or trusteeship.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Réanimation Médicale
Bordeaux, 33076, France
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Réanimation Médicale
Lyon, 69004, France
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