Effect of multimodality chest physiotherapy in prevention of ventilator-associated pneumonia: A randomized clinical trial

Pattanshetty, Renu; Gaude, Gajanan S

doi:10.4103/0972-5229.68218

Cited by 55 publications

(47 citation statements)

References 24 publications

(26 reference statements)

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“…A recent study of patients undergoing pulmonary resection through open thoracotomy failed to demonstrate that preoperative chest physical therapy decreased PPCs (81); in another study, chest physical therapy for critically ill ventilated patients actually was associated with prolonged ventilation (82). Other studies, however, have shown a clear benefit from chest physical therapy with respect to ventilatory dependency (83), ICU LOS (83), and mortality (84).…”

Section: General Perioperative Strategies To Prevent Ppcsmentioning

confidence: 96%

Clinical and economic burden of postoperative pulmonary complications: Patient safety summit on definition, risk-reducing interventions, and preventive strategies*

Shander

Fleisher

Barie

et al. 2011

Critical Care Medicine

220

156

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Section: General Perioperative Strategies To Prevent Ppcsmentioning

confidence: 96%

Clinical and economic burden of postoperative pulmonary complications: Patient safety summit on definition, risk-reducing interventions, and preventive strategies*

Shander

Fleisher

Barie

et al. 2011

Critical Care Medicine

220

156

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“…We evaluated effect of early‐stage rehabilitation on PICS‐related outcomes used our meta‐analysis (8 studies; Brunmmel et al .,441 Burtin et al .,442 Dantas et al .,443 Denehy et al .,444 Jones et al .,445 Kayamabu et al .,446 Pattanshetty et al .,447 and Schweickert et al 231436, 448.…”

Section: Cq18: Icu‐acquired Weakness (Icu‐aw) and Post‐intensive Carementioning

confidence: 99%

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

Nishida

Ogura

Egi

et al. 2018

Acute Medicine & Surgery

157

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Background and PurposeThe Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG 2016), a Japanese‐specific set of clinical practice guidelines for sepsis and septic shock created jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in February 2017 in Japanese. An English‐language version of these guidelines was created based on the contents of the original Japanese‐language version.MethodsMembers of the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine were selected and organized into 19 committee members and 52 working group members. The guidelines were prepared in accordance with the Medical Information Network Distribution Service (Minds) creation procedures. The Academic Guidelines Promotion Team was organized to oversee and provide academic support to the respective activities allocated to each Guideline Creation Team. To improve quality assurance and workflow transparency, a mutual peer review system was established, and discussions within each team were open to the public. Public comments were collected once after the initial formulation of a clinical question (CQ), and twice during the review of the final draft. Recommendations were determined to have been adopted after obtaining support from a two‐thirds (>66.6%) majority vote of each of the 19 committee members.ResultsA total of 87 CQs were selected among 19 clinical areas, including pediatric topics and several other important areas not covered in the first edition of the Japanese guidelines (J‐SSCG 2012). The approval rate obtained through committee voting, in addition to ratings of the strengths of the recommendation and its supporting evidence were also added to each recommendation statement. We conducted meta‐analyses for 29 CQs. Thirty seven CQs contained recommendations in the form of an expert consensus due to insufficient evidence. No recommendations were provided for 5 CQs.ConclusionsBased on the evidence gathered, we were able to formulate Japanese‐specific clinical practice guidelines that are tailored to the Japanese context in a highly transparent manner. These guidelines can easily be used not only by specialists, but also by non‐specialists, general clinicians, nurses, pharmacists, clinical engineers, and other healthcare professionals.

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“…In a randomized study Pattanshetty and Gaude evaluated the value of multimodality chest physiotherapy in the prevention of VAP [28]. Patients in the control group received twice daily chest physiotherapy by manual hyperinflation and suctioning, while patients in the experimental group received additional chest wall vibrations and patient positioning.…”

Section: Multimodality Chest Physiotherapymentioning

confidence: 99%

What is new in the prevention of ventilator-associated pneumonia?

Blot

Rello

Vogelaers

2011

Current Opinion in Pulmonary Medicine

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Purpose of the reviewVentilator-associated pneumonia (VAP) remains a frequent and severe complication in endotracheal intubated patients. Strict adherence to preventive measures reduces the risk of VAP. The objective of this paper is to review what has come forward in recent years in the non-pharmacologically prevention of VAP. Recent findingsIt seems advantageous to implement care bundles rather than single prevention measures. A solid basis of knowledge seems necessary to facilitate implementation and maintain a high adherence level. Continuous educational efforts have a beneficial effect on attitude towards VAP. Intermittent subglottic secretions drainage, continuous lateral rotation therapy, and poly-urethane cuffed endotracheal tubes decrease the risk of pneumonia. In an in vitro setting, an endotracheal tube with a tapered shaped cuff appear to better prevent fluid leakage compared to cylindrical poly-urethane or polyvinylchloride cuffed tubes. Cuff pressure control by means of an automatic device and multimodality chest physiotherapy need further investigation, as does some aspects of oral hygiene. SummaryNew devices and strategies are developed to prevent VAP. Some of these are promising but need further study. Besides this, more attention goes to factors that might facilitate the implementation process and the challenge to achieve high adherence rates.

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Effect of multimodality chest physiotherapy in prevention of ventilator-associated pneumonia: A randomized clinical trial

Cited by 55 publications

References 24 publications

Clinical and economic burden of postoperative pulmonary complications: Patient safety summit on definition, risk-reducing interventions, and preventive strategies*

Clinical and economic burden of postoperative pulmonary complications: Patient safety summit on definition, risk-reducing interventions, and preventive strategies*

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG2016)

What is new in the prevention of ventilator-associated pneumonia?

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