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Intensive Care AND Physiotherapy

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https://read.qxmd.com/read/30821565/physiotherapy-treatment-approaches-for-survivors-of-critical-illness-a-proposal-from-a-delphi-study
#1
Robin C H Kwakman, Mel E Major, Daniela S Dettling-Ihnenfeldt, Frans Nollet, Raoul H H Engelbert, Marike van der Schaaf
PURPOSE: The aim of this study was to develop practical recommendations for physiotherapy for survivors of critical illness after hospital discharge. METHODS: A modified Delphi consensus study was performed. A scoping literature review formed the basis for three Delphi rounds. The first round was used to gather input from the panel to finalize the survey for the next two rounds in which the panel was asked to rank each of the statements on an ordinal scale with the objective to reach consensus...
March 1, 2019: Physiotherapy Theory and Practice
https://read.qxmd.com/read/30820228/comparison-of-two-pain-scales-behavioral-pain-scale-and-critical-care-pain-observation-tool-during-invasive-and-noninvasive-procedures-in-intensive-care-unit-admitted-patients
#2
Shiva Gomarverdi, Ladan Sedighie, Mohamad Ali Seifrabiei, Mahshid Nikooseresht
Background: Critically ill patients admitted to intensive care units (ICUs) frequently experience pain, but the severity of pain in this group of patients is underestimated by the treatment team due to barriers to verbal communication. The aim of the present study was comparing the severity of pain measured by two scales: behavioral pain scale (BPS) and critical-care pain observation tool (CPOT) in ICU-admitted patients during routine daily procedures. Materials and Methods: Ninety patients were enrolled in the study...
March 2019: Iranian Journal of Nursing and Midwifery Research
https://read.qxmd.com/read/30816878/characteristics-of-physiotherapy-staffing-levels-and-caseload-a-cross-sectional-survey-of-chilean-adult-intensive-care-units
#3
Nadine Aranis, Jorge Molina, Jaime Leppe, Ana Cristina Castro-Ávila, Carolina Fu, Catalina Merino-Osorio
Introduction: The European Society of Intensive Care Medicine recommends the presence of a specialist physiotherapist, available every five beds, seven days a week in the high complexity Intensive Care Unit. However, in Chile the adherence of adult Intensive Care Units to this recommendation is unknown. Objective: To describe the organizational characteristics and the physiotherapist availability in adult Intensive Care Units in Chile, and according to the adherence to international recommendations, inform health decision-makers...
February 26, 2019: Medwave
https://read.qxmd.com/read/30796918/an-early-tailored-approach-is-the-key-to-effective-rehabilitation-in-the-intensive-care-unit
#4
Alice Chiarici, Oletta Serpilli, Matteo Andreolini, Silvia Tedesco, Giovanni Pomponio, Maria Mattea Gallo, Claudio Martini, Roberto Papa, Michela Coccia, Maria Gabriella Ceravolo, Elisa Andrenelli
OBJECTIVE: To investigate the effectiveness, feasibility and safety of an evidence-based rehabilitation care pathway in the Intensive Care Unit (ICU), in different patient populations. DESIGN: observational prospective cohort study, with retrospective controls. SETTING: ICUs of a University-Hospital. PARTICIPANTS: Patients admitted between April1st and June30th2015 were compared to a retrospective cohort admitted to the same ICUs during the same 3-month period in 2014...
February 20, 2019: Archives of Physical Medicine and Rehabilitation
https://read.qxmd.com/read/30761855/the-effects-of-early-neurodevelopmental-bobath-approach-and-mobilization-on-quadriceps-muscle-thickness-in-stroke-patients
#5
Arzu Güçlü Gündüz, Gökhan Yazıcı, Çağla Özkul, Hamit Küçük, Hale Zeynep Batur Çağlayan, Bijen Nazlıel
Background/aim: Following stroke, damage to the central nervous system and adaptive changes in muscle tissue are factors responsible for the loss of muscle strength. Even though it is suggested that early physiotherapy and mobilization prevent structural adaptive changes in muscle tissue, studies regarding this issue are insufficient. The aim of this study is to investigate the effects of early physiotherapy and mobilization on quadriceps muscle thickness (QMT) in stroke patients. Materials and methods: Twelve stroke patients who were admitted to the neurology intensive care unit and 13 healthy controls were included in the study...
February 11, 2019: Turkish Journal of Medical Sciences
https://read.qxmd.com/read/30739577/permanent-damage-of-the-sciatic-nerve-in-an-8-year-old-girl-with-newly-diagnosed-type-1-diabetes
#6
Styliani Giza, Eleni Litou, Eleni P Kotanidou, Angeliki N Kleisarchaki, Panagiotis Koliatos, Tasos Tzirtzipis, Vasiliki Rengina Tsinopoulou, Athanasios Tychalas, Athanasios Evangeliou, Assimina Galli-Tsinopoulou
Neuropathy, a complication of type 1 diabetes (T1D), is a heterogeneous group, and chronic polyneuropathy is the most common form in adults. Αn 8-year-old girl admitted with severe diabetic ketoacidosis was diagnosed with T1D. She was managed with intravenous fluids and insulin and was subsequently commenced on multiple daily subcutaneous injections of insulin. On the 7th day of hospitalisation, a right foot drop with sensory loss on the dorsal surface and cellulitis were detected and the latter responded to intravenous antibiotics...
February 11, 2019: Paediatrics and International Child Health
https://read.qxmd.com/read/30671726/experts-guidelines-of-intubation-and-extubation-of-the-icu-patient-of-french-society-of-anaesthesia-and-intensive-care-medicine-sfar-and-french-speaking-intensive-care-society-srlf-in-collaboration-with-the-pediatric-association-of-french-speaking-anaesthetists
#7
Hervé Quintard, Erwan l'Her, Julien Pottecher, Frédéric Adnet, Jean-Michel Constantin, Audrey De Jong, Pierre Diemunsch, Rose Fesseau, Anne Freynet, Christophe Girault, Christophe Guitton, Yann Hamonic, Eric Maury, Armand Mekontso-Dessap, Fabrice Michel, Paul Nolent, Sébastien Perbet, Gwenael Prat, Antoine Roquilly, Karim Tazarourte, Nicolas Terzi, Arnaud W Thille, Mikael Alves, Etienne Gayat, Laurence Donetti
BACKGROUND: Intubation and extubation of ventilated patients are not risk-free procedures in the intensive care unit (ICU) and can be associated with morbidity and mortality. Intubation in the ICU is frequently required in emergency situations for patients with an unstable cardiovascular or respiratory system. Under these circumstances, it is a high-risk procedure with life-threatening complications (20-50%). Moreover, technical problems can also give rise to complications and several new techniques, such as videolaryngoscopy, have been developed recently...
January 22, 2019: Annals of Intensive Care
https://read.qxmd.com/read/30642672/chest-physiotherapy-for-the-prevention-of-ventilator-associated-pneumonia-a-meta-analysis
#8
Meng-Yang Wang, Lei Pan, Xiao-Juan Hu
BACKGROUND: Ventilator-associated pneumonia (VAP) remains a frequent and severe complication in mechanically ventilated patients. We undertook a meta-analysis to evaluate the efficacy of chest physiotherapy (CPT) for the prevention of VAP. METHODS: A systematic literature search of PubMed and Embase databases were searched up until November 25, 2018 for published studies of mechanically ventilated patients comparing CPT with controls and reporting on the occurrence of VAP...
January 11, 2019: American Journal of Infection Control
https://read.qxmd.com/read/30630514/freeman-burian-syndrome
#9
REVIEW
Mikaela I Poling, Craig R Dufresne, Robert L Chamberlain
CLINICAL DESCRIPTION: Freeman-Burian syndrome (FBS) is a rare congenital myopathic craniofacial syndrome. Considerable variability in severity is seen, but diagnosis requires the following: microstomia, whistling-face appearance (pursed lips), H or V-shaped chin defect, and prominent nasolabial folds. Some patients do not have limb malformations, but essentially all do, typically camptodactyly with ulnar deviation of the hand and talipes equinovarus. Neuro-cognitive function is not impaired...
January 10, 2019: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/30572746/communicating-information-and-professional-knowledge-in-acquired-brain-injury-rehabilitation-trajectories-a-qualitative-study-of-physiotherapy-practice
#10
Eirik Lind Irgens, Nils Henriksen, Siri Moe
PURPOSE: The communication of information and professional knowledge is paramount during patient transitions, and conveying practice knowledge is an important part of the health professional's role. Physiotherapy interventions in both specialist and primary health care are often necessary to aid persons in rehabilitation following an acquired brain injury (ABI). The aim of this study was to investigate how physiotherapists experience the way patient information is communicated across health care levels in ABI rehabilitation...
December 21, 2018: Disability and Rehabilitation
https://read.qxmd.com/read/30565374/expert-consensus-for-respiratory-physiotherapy-management-of-mechanically-ventilated-adults-with-community-acquired-pneumonia-a-delphi-study
#11
Lisa van der Lee, Anne-Marie Hill, Shane Patman
RATIONALE AND AIMS: Patients with community-acquired pneumonia (CAP) are frequently admitted to an intensive care unit. Physiotherapy may be provided to optimize respiratory function; however, there is significant variability in clinical practice and limited research directing best practice for this cohort. This study aimed to determine expert consensus for best physiotherapy practice for invasively ventilated adults with CAP. METHOD: A modified Delphi technique involved an international expert panel completing three rounds of an online questionnaire...
December 19, 2018: Journal of Evaluation in Clinical Practice
https://read.qxmd.com/read/30477677/predictors-for-global-perceived-effect-after-physiotherapy-in-patients-with-neck-pain-an-observational-study
#12
I Meisingset, A K Stensdotter, A Woodhouse, O Vasseljen
OBJECTIVE: To investigate the prognostic importance of a number of sensorimotor and psychological factors for global perceived effect (GPE) after physiotherapy in patients with neck pain. In addition to baseline values, change scores were used as independent variables to identify treatment-modifiable factors. DESIGN: Clinical cohort study. SETTING: Primary and secondary healthcare physiotherapy clinics. PARTICIPANTS: Patients (n=70) with non-specific neck pain...
December 2018: Physiotherapy
https://read.qxmd.com/read/30475778/the-role-of-biopsychosocial-factors-in-the-rehabilitation-process-of-individuals-with-a-stroke
#13
Marzena Kobylańska, Joanna Kowalska, Jolanta Neustein, Justyna Mazurek, Bartosz Wójcik, Małgorzata Bełza, Michał Cichosz, Joanna Szczepańska-Gieracha
BACKGROUND: A large proportion of individuals with a stroke are unable to return to work, although figures vary greatly. Due to the very high cost of post-stroke care, both tangible and intangible, in the form of long-term social consequences, it seems extremely important to search for factors responsible for the low efficiency of the rehabilitation and recovery process, because this fact has direct influence on future employment. Such knowledge would enable physiotherapists to quickly identify those patients who are at risk of rehabilitation breakdown, in order to provide them with special care and include them in intensive therapeutic treatments...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://read.qxmd.com/read/30472526/survival-of-amyotrophic-lateral-sclerosis-patients-after-admission-to-the-intensive-care-unit-for-acute-respiratory-failure-an-observational-cohort-study
#14
Julien Mayaux, Jérôme Lambert, Capucine Morélot-Panzini, Jésus Gonzalez-Bermejo, Julie Delemazure, Claudia Llontop, Gaëlle Bruneteau, François Salachas, Martin Dres, Alexandre Demoule, Thomas Similowski
PURPOSE: Amyotrophic lateral sclerosis (ALS) entails a risk of acute respiratory failure (ARF). The decision to admit such patients to the intensive care unit (ICU) is difficult given the inexorable prognosis of ALS. To fuel this discussion, this study describes the ICU and post-ICU survival of ALS-related ARF. MATERIAL AND METHODS: Retrospective cohort analysis over 10 years (university hospital setting, ALS reference center). RESULTS: Of 90 patients (66 men, median age: 67 [IQR 59-71], median interval since ALS diagnosis: 26...
November 12, 2018: Journal of Critical Care
https://read.qxmd.com/read/30450933/-anesthetics-and-intensive-therapeutic-aspects-of-liver-transplantation
#15
János Fazakas, Anikó Smudla
One of the most prominent results of our age is organ transplantation, the single treatment option for patients with end-stage organ failure. The success of transplants depends on the donor care, the patient preoperative preassessment, the perioperative care of organ transplantation and aftercare. Successful transplantation therefore requires a prominent level of continuous collaboration between the surgeon, anaesthesiologist, radiologist, internal medicine and hepatologist, laboratory physician and almost all their associates...
November 2018: Orvosi Hetilap
https://read.qxmd.com/read/30427933/effects-of-early-combined-endurance-and-resistance-training-in-mechanically-ventilated-critically-ill-patients-a-randomised-controlled-trial
#16
Sabrina Eggmann, Martin L Verra, Gere Luder, Jukka Takala, Stephan M Jakob
INTRODUCTION: Neuromuscular weakness resulting in severe functional impairment is common in critical care survivors. This study aimed to evaluate effects of an early progressive rehabilitation intervention in mechanically ventilated adults at risk. METHODS: This was a parallel, two-arm, assessor-blinded, randomised controlled trial with 6-months follow-up that was conducted in a mixed ICU of an academic centre in Switzerland. Previously independent, mechanically ventilated, critically ill adults with expected critical care stay ≥72 hours (n = 115) were randomised to a control group receiving standard physiotherapy including early mobilisation or to an experimental group with early endurance and resistance training combined with mobilisation...
2018: PloS One
https://read.qxmd.com/read/30398542/effect-of-intensive-patient-education-vs-placebo-patient-education-on-outcomes-in-patients-with-acute-low-back-pain-a-randomized-clinical-trial
#17
Adrian C Traeger, Hopin Lee, Markus Hübscher, Ian W Skinner, G Lorimer Moseley, Michael K Nicholas, Nicholas Henschke, Kathryn M Refshauge, Fiona M Blyth, Chris J Main, Julia M Hush, Serigne Lo, James H McAuley
Importance: Many patients with acute low back pain do not recover with basic first-line care (advice, reassurance, and simple analgesia, if necessary). It is unclear whether intensive patient education improves clinical outcomes for those patients already receiving first-line care. Objective: To determine the effectiveness of intensive patient education for patients with acute low back pain. Design, Setting, and Participants: This randomized, placebo-controlled clinical trial recruited patients from general practices, physiotherapy clinics, and a research center in Sydney, Australia, between September 10, 2013, and December 2, 2015...
November 5, 2018: JAMA Neurology
https://read.qxmd.com/read/30343873/quantifying-postoperative-mobilisation-following-oesophagectomy
#18
J M Hussey, T Yang, J Dowds, L O'Connor, J V Reynolds, E M Guinan
OBJECTIVE: Early mobilisation is in integral component of postoperative recovery following complex surgical procedures such as oesophageal cancer resections, however evidence to guide early mobilisation protocols in critical care settings is limited. Furthermore, little is known about actual mobilisation levels postoperatively. This study quantified postoperative mobilisation post- oesophagectomy and investigated barriers to mobility. DESIGN: Prospective observational study...
August 16, 2018: Physiotherapy
https://read.qxmd.com/read/30316038/physiotherapy-in-the-neurotrauma-intensive-care-unit-a-scoping-review
#19
Anastasia N L Newman, Janelle Gravesande, Stephanie Rotella, Stephen S Wu, Nam Topp-Nguyen, Michelle E Kho, Jocelyn E Harris, Alison Fox-Robichaud, Patricia Solomon
PURPOSE: This scoping review summarizes the literature on the safety and effectiveness of physiotherapy interventions in patients with neurological and/or traumatic injuries in the intensive care unit (ICU), identifies literature gaps and provides recommendations for future research. MATERIALS AND METHODS: We searched five databases from inception to June 2, 2018. We included published retrospective studies, case studies, observation and randomized controlled trials describing physiotherapy interventions in ICU patients with neurotrauma injuries...
October 3, 2018: Journal of Critical Care
https://read.qxmd.com/read/30285645/effects-of-12-month-home-based-physiotherapy-on-duration-of-living-at-home-and-functional-capacity-among-older-persons-with-signs-of-frailty-or-with-a-recent-hip-fracture-protocol-of-a-randomized-controlled-trial-hipfra-study
#20
Paula Soukkio, Sara Suikkanen, Sanna Kääriä, Hannu Kautiainen, Sarianna Sipilä, Katriina Kukkonen-Harjula, Markku Hupli
BACKGROUND: Health concerns, such as frailty and osteoporotic fractures decrease functional capacity and increase use of health and social care services in the aging population. The ability to continue living at home is dependent on functional capacity, which can be enhanced by rehabilitation. We study the effects of a 12-month home-based physiotherapy program with 12-month follow-up on duration of living at home, functional capacity, and the use of social and health care services among older persons with signs of frailty, or with a recently operated hip fracture...
October 1, 2018: BMC Geriatrics
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