{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:16:27Z","timestamp":1783444587119,"version":"3.54.6"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,10,4]],"date-time":"2018-10-04T00:00:00Z","timestamp":1538611200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Magnamed"},{"name":"POWERbreathe"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Critical Care"],"published-print":{"date-parts":[[2018,10,4]]},"abstract":"<jats:p>Zika is an arbovirus infection mainly transmitted by the mosquito<jats:italic> Aedes aegypti<\/jats:italic>. In 2016, the burden of Zika epidemic in Brazil was significant. Patients affected by Zika virus can develop Guillain-Barr\u00e9 syndrome, evolving to muscle respiratory failure requiring mechanical ventilation. In this setting, delayed recovery of the muscle weakness can result in prolonged weaning, a condition that by itself is related to a high mortality rate. The study is reporting a case of a patient with Zika and Guillain-Barr\u00e9 syndrome who underwent an inspiratory muscle training program starting after twenty-five days of mechanical ventilation and guided by serial measurements of the timed inspiratory effort (TIE) index. The patient was successfully weaned in two weeks and discharged from the hospital 30 days after extubation.<\/jats:p>","DOI":"10.1155\/2018\/9708451","type":"journal-article","created":{"date-parts":[[2018,10,4]],"date-time":"2018-10-04T04:44:21Z","timestamp":1538628261000},"page":"1-5","source":"Crossref","is-referenced-by-count":5,"title":["Inspiratory Muscle Training with Isokinetic Device to Help Ventilatory Weaning in a Patient with Guillain-Barr\u00e9 Syndrome by Zika Virus"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3959-7620","authenticated-orcid":true,"given":"Leonardo","family":"Cordeiro de Souza","sequence":"first","affiliation":[{"name":"Medical Science Post-Graduation Program, Universidade Federal Fluminense, Niter\u00f3i, RJ, Brazil"},{"name":"Intensive Care Division, Hospital e Cl\u00ednica S\u00e3o Gon\u00e7alo, S\u00e3o Gon\u00e7alo, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarildo Abreu de","family":"Souza","sequence":"additional","affiliation":[{"name":"Intensive Care Division, Hospital e Cl\u00ednica S\u00e3o Gon\u00e7alo, S\u00e3o Gon\u00e7alo, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Eduardo Pinto de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Intensive Care Division, Hospital e Cl\u00ednica S\u00e3o Gon\u00e7alo, S\u00e3o Gon\u00e7alo, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leo","family":"Honse Ribeiro","sequence":"additional","affiliation":[{"name":"Intensive Care Division, Hospital e Cl\u00ednica S\u00e3o Gon\u00e7alo, S\u00e3o Gon\u00e7alo, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcos David","family":"Parada Godoy","sequence":"additional","affiliation":[{"name":"Medical Science Post-Graduation Program, Universidade Federal Fluminense, Niter\u00f3i, RJ, Brazil"},{"name":"Intensive Care Division, Hospital e Cl\u00ednica S\u00e3o Gon\u00e7alo, S\u00e3o Gon\u00e7alo, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanderlei","family":"Augusto Junior","sequence":"additional","affiliation":[{"name":"Intensive Care Division, Hospital e Cl\u00ednica S\u00e3o Gon\u00e7alo, S\u00e3o Gon\u00e7alo, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jocemir","family":"Ronaldo Lugon","sequence":"additional","affiliation":[{"name":"Nephrology Division, Universidade Federal Fluminense, Niter\u00f3i, RJ, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","first-page":"22","year":"2016","journal-title":"Revista Ci\u00eancia e Estudos Acad\u00eamicos de Medicina - N\u00famero 5"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1177\/0885066613483265"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2409004"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2015.05.016"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.159"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa070447"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1186\/cc10081"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.03393"},{"key":"9","first-page":"34","volume":"29","year":"2017","journal-title":"Revista Brasileira de Terapia Intensiva"},{"key":"10","year":"2014","journal-title":"Case Report in Critical Care"}],"container-title":["Case Reports in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2018\/9708451.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2018\/9708451.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2018\/9708451.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,10,4]],"date-time":"2018-10-04T19:48:56Z","timestamp":1538682536000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cricc\/2018\/9708451\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,4]]},"references-count":10,"alternative-id":["9708451","9708451"],"URL":"https:\/\/doi.org\/10.1155\/2018\/9708451","relation":{},"ISSN":["2090-6420","2090-6439"],"issn-type":[{"value":"2090-6420","type":"print"},{"value":"2090-6439","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,4]]}}}