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Updated: Aug 24, 2026

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide
Published on: January 30, 2026
Role of non-invasive ventilation in difficult-to-wean children with acute neuromuscular disease
V G Reddy1, M P Nair, F Bataclan
1Department of Anaesthesia and Intensive Care Unit, College of Medicine, Sultan Qaboos University Hospital, PO Box 35, PC 123-SQU, Muscat, Sultanate of Oman. venu@squ.edu.om
Abstract:
Weaning from mechanical ventilation in children could be time-consuming and on many occasions, leads to reintubation with its associate complications. We report two children with acute neuromuscular disease, in whom bi-level positive airway pressure (BiPAP) as a mode of non-invasive ventilation was successfully used to wean the child from ventilators and prevented the need for tracheostomy. Despite the limited number of studies published in the literature suggesting BiPAP as a mode of weaning from mechanical ventilation, the technique when applied correctly seems to be safe and effective in weaning and avoiding tracheostomy.
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