Continuous lateral rotation therapy – a review

Wanless, Stephen; Aldridge, Matthew

doi:10.1111/j.1478-5153.2011.00458.x

Cited by 6 publications

(4 citation statements)

References 40 publications

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“…There is some evidence suggesting positive impact on the incidence of pneumonia and atelectasis, 60 but there is no strong evidence to support its routine use. [61][62][63] Similarly, prone positioning can be used to reduce atelectasis and improve FRC, secretion clearance, and ventilation-perfusion Table 1 Postulated mechanisms of action for oscillatory devices to facilitate the proximal migration of airway secretions toward large central airways…”

Section: Positioningmentioning

confidence: 99%

“…There is some evidence suggesting positive impact on the incidence of pneumonia and atelectasis, 60 but there is no strong evidence to support its routine use. 61 62 63 Similarly, prone positioning can be used to reduce atelectasis and improve FRC, secretion clearance, and ventilation-perfusion matching. 49 Prone positioning favors the reexpansion of collapsed lung tissue in the posterior lung regions, and aeration reduction in anterior ones, leading to lung recruitment and more homogenous lung aeration.…”

Section: Treatmentmentioning

confidence: 99%

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An Update on Cardiorespiratory Physiotherapy during Mechanical Ventilation

Tronstad

Martí

Ntoumenopoulos

et al. 2022

Semin Respir Crit Care Med

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Physiotherapists are integral members of the multidisciplinary team managing critically ill adult patients. However, the scope and role of physiotherapists vary widely internationally, with physiotherapists in some countries moving away from providing early and proactive respiratory care in the intensive care unit (ICU) and focusing more on early mobilization and rehabilitation. This article provides an update of cardiorespiratory physiotherapy for patients receiving mechanical ventilation in ICU. Common and some more novel assessment tools and treatment options are described, along with the mechanisms of action of the treatment options and the evidence and physiology underpinning them. The aim is not only to summarize the current state of cardiorespiratory physiotherapy but also to provide information that will also hopefully help support clinicians to deliver personalized and optimal patient care, based on the patient's unique needs and guided by accurate interpretation of assessment findings and the current evidence. Cardiorespiratory physiotherapy plays an essential role in optimizing secretion clearance, gas exchange, lung recruitment, and aiding with weaning from mechanical ventilation in ICU. The physiotherapists' skill set and scope is likely to be further optimized and utilized in the future as the evidence base continues to grow and they get more and more integrated into the ICU multidisciplinary team, leading to improved short- and long-term patient outcomes.

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Section: Positioningmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

An Update on Cardiorespiratory Physiotherapy during Mechanical Ventilation

Tronstad

Martí

Ntoumenopoulos

et al. 2022

Semin Respir Crit Care Med

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“…However, close surveillance is needed in such cases given the unpredictability of the results, as there is a higher risk of worse oxygenation and contamination of the contralateral lung. ( 156 )…”

Section: Mechanical Ventilation In Community-acquired Pneumoniamentioning

confidence: 99%

“…No entanto, pelos resultados imprevisíveis, é necessária vigilância intensa, porque há risco de piora da oxigenação e de contaminação do pulmão contralateral. ( 156 )…”

Section: Ventilação Mecânica Na Pneumonia Adquirida Na Comunidadeunclassified

Brazilian recommendations of mechanical ventilation 2013. Part I

2014

J. bras. pneumol.

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Perspectives on invasive and noninvasive ventilatory support for critically ill patients are evolving, as much evidence indicates that ventilation may have positive effects on patient survival and the quality of the care provided in intensive care units in Brazil. For those reasons, the Brazilian Association of Intensive Care Medicine (Associação de Medicina Intensiva Brasileira - AMIB) and the Brazilian Thoracic Society (Sociedade Brasileira de Pneumologia e Tisiologia - SBPT), represented by the Mechanical Ventilation Committee and the Commission of Intensive Therapy, respectively, decided to review the literature and draft recommendations for mechanical ventilation with the goal of creating a document for bedside guidance as to the best practices on mechanical ventilation available to their members. The document was based on the available evidence regarding 29 subtopics selected as the most relevant for the subject of interest. The project was developed in several stages, during which the selected topics were distributed among experts recommended by both societies with recent publications on the subject of interest and/or significant teaching and research activity in the field of mechanical ventilation in Brazil. The experts were divided into pairs that were charged with performing a thorough review of the international literature on each topic. All the experts met at the Forum on Mechanical Ventilation, which was held at the headquarters of AMIB in São Paulo on August 3 and 4, 2013, to collaboratively draft the final text corresponding to each sub-topic, which was presented to, appraised, discussed and approved in a plenary session that included all 58 participants and aimed to create the final document.

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What's in this issue?

Scholes¹

2012

Nursing in Critical Care

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Continuous lateral rotation therapy – a review

Cited by 6 publications

References 40 publications

An Update on Cardiorespiratory Physiotherapy during Mechanical Ventilation

An Update on Cardiorespiratory Physiotherapy during Mechanical Ventilation

Brazilian recommendations of mechanical ventilation 2013. Part I

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