机械通气患者在重症监护病房何时可以安全地进行运动？在心胸环境中评估共识建议。

When is it safe to exercise mechanically ventilated patients in the intensive care unit? An evaluation of consensus recommendations in a cardiothoracic setting.

机构信息

Physiotherapy Department, The Prince Charles Hospital, Brisbane, Qld, Australia; School of Allied Health Sciences, Griffith University, Gold Coast, Qld, Australia.

School of Allied Health Sciences, Griffith University, Gold Coast, Qld, Australia; Physiotherapy Department, The Royal Brisbane and Women's Hospital, Brisbane, Qld, Australia; Burns, Trauma & Critical Care Research Centre, the University of Queensland, Brisbane, Qld, Australia.

出版信息

Heart Lung. 2018 Mar-Apr;47(2):81-86. doi: 10.1016/j.hrtlng.2017.11.006. Epub 2017 Dec 13.

DOI:10.1016/j.hrtlng.2017.11.006

PMID:29246774

Abstract

RATIONALE

Consensus recommendations have been developed to guide exercise rehabilitation of mechanically ventilated patients in the intensive care unit.

OBJECTIVE

This study aimed to investigate the safety of exercise rehabilitation of mechanically ventilated patients and evaluate the consensus recommendations.

METHODS

This was a prospective, single-centre, cohort study conducted in a specialist cardiothoracic intensive care unit of a tertiary, university affiliated hospital in Australia.

RESULTS

91 mechanically ventilated participants; 54 (59.3%) male; mean age of 56.52 (16.3) years; were studied with 809 occasions of service recorded. Ten (0.0182%) minor adverse events were recorded, with only one adverse event occurring when a patient was receiving moderate level of vasoactive support.

CONCLUSIONS

The consensus recommendations are a useful tool in guiding safe exercise rehabilitation of mechanically ventilated patients. Our findings suggest that there is further scope to safely commence exercise rehabilitation in patients receiving vasoactive support.

摘要