Re: Physiotherapy and Rehabilitation Implementation in Intensive Care Units: A Survey Study

Çakmak, Aslıhan; İnce, Deni̇z İnal; Sağlam, Melda; Savcı, Sema; Yağlı, Naciye Vardar; Çalık-Kütükçü, Ebru; Ozel, Cemile Bozdemir; Ulu, Hazal Sonbahar; Arıkan, Hülya

doi:10.5152/turkthoracj.2019.191431

Cited by 1 publication

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“…Similar findings were found in Turkey. 2 Hence, we recommend that local ICUs should incorporate IMT training in their competency checklist.…”

Section: Discussionmentioning

confidence: 99%

“…1 These interventions can be classified as chest physiotherapy or mobilisation therapy. 2 There is evidence that chest physiotherapy assists in the re-expansion of atelectatic lung, 3 improves aeration of the dorsal lung region, 4 improves secretion clearance and increased static compliance 5 and reduces the incidence of ventilator-associated pneumonia. 6 In patients with prolonged ICU stay (>3 days), early mobilisation therapy is recommended to prevent and manage neuromuscular complications.…”

Section: Introductionmentioning

confidence: 99%

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Physiotherapy Practice Pattern in the Adult Intensive Care Units of Singapore – A Multi-Centre Survey

et al. 2022

Proceedings of Singapore Healthcare

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Background The roles of physiotherapy in Intensive Care Unit (ICU) have significantly developed from the traditional management of respiratory conditions to early rehabilitation and mobilisation of patients on mechanical ventilation. Surveys of United Kingdom, Australia and regional ICU physiotherapy practice have been published but there are no local data sets. This study aims to report the physiotherapy practices across the adult ICUs of Singapore. Methods Twenty-nine item questionnaire was mailed to 90 physiotherapists working in 15 adult ICUs across restructured and private hospitals in Singapore. Data sets were summarised from the returned questionnaires. This includes identifying common physiotherapy techniques and exercise prescription protocols for both mechanically and non-mechanically ventilated patients in the ICU. Results A total of 63 (70%) questionnaires were returned. The most used physiotherapy interventions were airway secretion clearance, techniques to improve lung ventilation and mobilisation out of bed. Positioning was most used respiratory technique (60/61, 98%). Sitting on the edge of bed is the most preferred physical activity for ICU patients (43/44, 98%). Exercise was routinely prescribed (50/61, 83%) although only a minority (8/50, 16%) have established exercise prescription protocols. For mechanically ventilated patients, active/active assisted exercises were most used (40/44, 91%). 12% of ICU use either Chelsea Critical Care Physical Assessment Tool or the Functional Status Score for the Intensive Care Unit as routine outcome measures. Conclusion Airway clearance was stated as the most used physiotherapy technique. Exercise is routinely prescribed in ICU. Validated outcome measures are only used by few.

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“…Similar findings were found in Turkey. 2 Hence, we recommend that local ICUs should incorporate IMT training in their competency checklist.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physiotherapy Practice Pattern in the Adult Intensive Care Units of Singapore – A Multi-Centre Survey

et al. 2022

Proceedings of Singapore Healthcare

View full text Add to dashboard Cite

show abstract

Re: Physiotherapy and Rehabilitation Implementation in Intensive Care Units: A Survey Study

Cited by 1 publication

References 0 publications

Physiotherapy Practice Pattern in the Adult Intensive Care Units of Singapore – A Multi-Centre Survey

Physiotherapy Practice Pattern in the Adult Intensive Care Units of Singapore – A Multi-Centre Survey

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