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Updated: Jun 3, 2026

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Published on: January 30, 2026

End-of-life care in ICU: a practical guide.

Irene M Spinello¹,

¹Kern Medical Center, Department of Medicine, Bakersfield, CA, USA. spinelloi@kernmedctr.com

Journal of Intensive Care Medicine

|March 26, 2011

Summary

This guide offers practical steps for compassionate end-of-life (EOL) management, addressing a gap in critical care physician training for procedures like removing life-sustaining measures.

Keywords:

communication death end-of-life care futility resuscitation withdrawing treatment withholding treatment

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Last Updated: Jun 3, 2026

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Inspiratory Muscle Training as an Adjunct to the Treatment of Weaning Failure in Critically Ill Patients: A Practical Guide

Published on: January 30, 2026

Area of Science:

Medical Education
Critical Care Medicine
Bioethics

Background:

Critical care training traditionally emphasizes evidence-based care and procedural skills.
Compassionate end-of-life (EOL) management is a crucial, yet often undertrained, aspect of critical care.
Physicians lack formal training in the procedure for removing life-sustaining measures.

Purpose of the Study:

To provide a practical guide for bedside practitioners on end-of-life (EOL) management.
To outline essential ethical concepts relevant to EOL care.
To address the deficit in formal training regarding the removal of life-sustaining measures.

Main Methods:

Review of fundamental ethical concepts in EOL care.
Personal experience and practice-based insights into EOL management.
Development of a procedural outline for the removal of life-sustaining measures.

Main Results:

Identification of key ethical considerations for EOL discussions.
Provision of practical rules and steps for managing EOL situations.
Establishment of a structured approach to the removal of life-sustaining measures.

Conclusions:

Formal training in end-of-life care, including the removal of life-sustaining measures, is essential for critical care physicians.
A structured, procedural approach, akin to other medical procedures, is necessary for proficiency in EOL management.
This manuscript serves as a foundational guide to improve EOL care practices.