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n the active group versus 8/20 in the sham group (P = 0.16). Expiratory muscle FES is feasible in selected ICU patients and might be a promising technique within a respiratory muscle-protective ventilation strategy. The next step is to study the effects on weaning and ventilator liberation outcome. ClinicalTrials.gov, ID NCT03453944. Registered 05 March 2018-Retrospectively registered, https//clinicaltrials.gov/ct2/show/NCT03453944 . ClinicalTrials.gov, ID NCT03453944. Registered 05 March 2018-Retrospectively registered, https//clinical