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Updated: Jul 11, 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
Weaning from mechanical ventilation followed at home with the aid of a telemedicine program
Michele Vitacca1, Alberto Guerra, Giuliano Assoni
1Divisione di Pneumologia, Fondazione Salvatore Maugeri, I.R.C.C.S., Istituto di Gussago/Lumezzane (Brescia) Italy. mvitacca@fsm.it
Abstract:
We describe the use of telemedicine in support of weaning from invasive mechanical ventilation on a 63-year-old woman of at home by means of a telepneumology program (TPP). Under telephone assistance of a pulmonologist and a TPP nurse tutor, the pulsed arterial saturimetric (pSaT), heart rate (HR), breathing pattern tracing monitoring transmitted via a home telephone line and the aid of the caregiver, the patient was able to maintain diurnal spontaneous breathing after 24 spontaneous breathing trial (SBT) steps twice daily. The duration of each SBT period progressively increased starting from 30 minutes up to 8 hours. This case report shows that many patients at home on ventilators could possibly be weaned through the use of remote monitoring and call center response, with only family/caregivers on-site.
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