Early exercise in critically ill patients enhances short-term functional recovery
Burtin C, Clerckx B, Robbeets C, Ferdinande P, Langer D, Troosters T, Hermans G, Decramer M, Gosselink R The objective of this study was to investigate whether a daily exercise session, using a bedside cycle ergometer, is a safe and effective intervention in preventing or attenuating the decrease in functional exercise capacity, functional status, and [...]
Physiotherapy does not prevent, or hasten recovery from, ventilator-associated pneumonia in patients with acquired brain injury
Patman S, Jenkins S, Stiller K. This study was designed to determine whether, regular respiratory physiotherapy in mechanically ventilated patients with acquired brain injury (ABI), prevented ventilator-associated pneumonia (VAP), reduce length of mechanical ventilation or ICU stay. One hundred and forty-four subjects with acquired brain injury, a Glasgow Coma Scale ?9, requiring intracranial pressure monitoring, [...]
Early mobility and walking program for patients in intensive care units: creating a standard of care.
Perme C, Chandrashekar R New technologies in critical care and mechanical ventilation have led to long-term survival of critically ill patients. An early mobility and walking program was developed to provide guidelines for early mobility that would assist clinicians working in intensive care units, especially clinicians working with patients who are receiving mechanical ventilation. Prolonged [...]
Discomfort associated with underhumidified high-flow oxygen therapy in critically ill patients
Chanques G, Constantin J-M, Sauter M, Jung B, Sebbane M, Verzilli D, Lefrant J-Y, Jaber S. This randomised cross-over study set out to measure the discomfort in non-intubated patients under high-flow oxygen therapy (>5 L/min) humidified with bubble through (BH) or heated humidifiers (HH). In addition the hygrometric properties of oxygen with a BH and [...]
Water content of delivered gases during non-invasive ventilation in healthy subjects
Lellouche F, Maggiore SM, Lyazidi A, Deye N, Taillé S, Brochard L In this study the authors measured hygrometry during non invasive ventilation (NIV) delivered to healthy subjects with different humidification strategies: heated humidifier (HH), heat and moisture exchanger, (HME) or no humidification (NoH). They found that during NIV, with NoH, gas humidity was very [...]
Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial
William D Schweickert, Mark C Pohlman, Anne S Pohlman, Celerina Nigos, Amy J Pawlik, Cheryl L Esbrook, Linda Spears, Megan Miller, Mietka Franczyk, Deanna Deprizio, Prof Gregory A Schmidt, Amy Bowman, Rhonda Barr, Kathryn E McCallister, Prof Jesse B Hall, Dr John P Kress We assessed the efficacy of combining daily interruption of sedation with [...]
Extended prone position ventilation in severe acute respiratory distress syndrome: A pilot feasibility study
Romeroa CM, Cornejoa RA, Gálveza LR, Llanosa OP, Tobara EA, BerasaÃnb MA, Arellanoc DH, Larrondod JF, Castroa JS A group of 15 patients with acute respiratory distress syndrome (ARDS) who had not responded to positive end-expiratory pressure adjustment were treated with extended prone position ventilation (PPV). Two patients developed grade II pressure ulcers [...]
Endotracheal suctioning of the adult intubated patient–what is the evidence?
Pedersen CM; Rosendahl-Nielsen M; Hjermind J; Egerod I This article reviews the available literature regarding endotracheal suctioning of adult intubated intensive care patients and provides evidence-based recommendations for practice. The major recommendations include: suctioning only when necessary, using a suction catheter occluding less than half the lumen of the endotracheal tube, using the lowest possible suction pressure, inserting [...]
The effect of physiotherapy on ventilatory dependency and the length of stay in an intensive care unit
Malkoç, Mehtap; Karadibak, Didem; Yldrm, Yücel The aim of this study was to assess the effect of physiotherapy on ventilator dependency and lengths of intensive care unit (ICU) stay. 510 patients were divided into either the control group, which received standard nursing care or the intervention group who were taken into the chest physiotherapy program. [...]
Prophylactic Nasal Continuous Positive Airway Pressure Following Cardiac Surgery Protects From Postoperative Pulmonary Complications: A Prospective, Randomized, Controlled Trial in 500 Patients.
Zarbock A, Mueller E, Netzer S, Gabriel A, Feindt P, Kindgen-Milles D. Five hundred patients scheduled for elective cardiac surgery were prospectively randomized into one of two groups, in order to determine the efficacy of prophylactic nasal CPAP (nCPAP) compared to standard treatment. The control group received standard treatment which included a 10 minute application [...]
Return to top of page