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Case Reports in Critical Care
Volume 2014 (2014), Article ID 902541, 4 pages
http://dx.doi.org/10.1155/2014/902541
Case Report

Mechanical Ventilation Weaning in Inclusion Body Myositis: Feasibility of Isokinetic Inspiratory Muscle Training as an Adjunct Therapy

1Medical Science Post-Graduation Program, Universidade Federal Fluminense, Niterói, RJ, Brazil
2Intensive Care Division, Hospital e Clínica São Gonçalo, São Gonçalo, RJ, Brazil
3Nephrology Division, Department of Medicine, Medical School, Universidade Federal Fluminense, Niterói, RJ, Brazil

Received 8 May 2014; Accepted 12 July 2014; Published 24 July 2014

Academic Editor: Nicolas Nin

Copyright © 2014 Leonardo Cordeiro de Souza et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.