Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: The letters of Dr Nava, Drs Culp and Beyer, and Dr Takagi and colleagues request further details concerning the IMT, surgical procedures, and data analysis as used in our clinical trial.
Inspiratory muscle training was well tolerated, devoid of adverse events, and well appreciated by the patients, none of whom dropped out during the training period.1 Those participants who did not initially tolerate 20 minutes of IMT (n = 5) started with an interval scheme as recommended by McConnell et al2 and gradually tolerated the full length of an IMT session.
Hulzebos EHJ, Helders PJM, Favié NJ, De Bie RA, Brutel de la Riviere A, Van Meeteren NLU. Preoperative Inspiratory Muscle Training and Postoperative Complications—Reply. JAMA. 2007;297(7):697-699. doi:10.1001/jama.297.7.698-b