Effect of continuous lateral rotational therapy on the prevalence of ventilator-associated pneumonia in patients requiring long-term ventilatory care*

Abstract

In patients requiring long-term ventilator care, continuous lateral rotational therapy reduced the prevalence of pneumonia but did not seem to affect mortality or the period of mechanical ventilation.

Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention

“…Nonetheless, a recent survey by the University Hospital Consortium revealed that compliance with the simple and no-cost intervention of elevating the head is woefully low, and a study by Heyland et al revealed that the head of bed is on average elevated to 29°and not 45° (80). Kinetic bed therapy has also led to a reduction in the incidence of VAP (46,48,69,72,97,202,213). However, this is costly and has not been directly compared to head-of-bed elevation, a nocost option.…”

Quality measurement at intensive care units: which indicators should we use?

“…Physician staffing [20,21] Noninvasive ventilation [22,23] Ventilator associated pneumonia [24-27] Patient-to-nurse ratio [16,[28][29][30][31] SDD [32] Deep venous thrombosis [33][34][35] Mattresses or pressure-relieving beds [9] TISS score by discharge [36] Pulmonary embolism [33][34][35] Daily sedation interruption policy [37] Unplanned extubation [38,39] Decubitus [9] Use of case management approach [40] Continuous lateral rotational therapy [24,41,42] Stress ulcer [43] Computerized physician order entry [44] Interclinical transport [45][46][47] Quality of life [15] Pharmacist participation during daily rounds [16] Red cell concentrate transfusion [48,49] Hospital mortality rate [32,50] Weaning following a protocol [10] Nutrition support [51][52][53][54] Berenholtz et al: Protocol for admission and discharge [11] Glucose regulation [55,…”

Rehabilitation, weaning and physical therapy strategies in chronic critically ill patients

“…Passive and active-assisted mobilisation [15,[23][24][25][26][27][28][29] Continuous rotational therapy [30][31][32] Postures [18,[33][34][35][36][37][38][39][40] Active limb exercise [41][42][43] Peripheral muscle training [44,45] Neuromuscular electrical stimulation [46][47][48][49][50][51][52][53][54][55] Respiratory muscle training [56][57][58][59][60] Airway secretions…”