Effect of Comprehensive Rehabilitation Intervention on the Occurrence of Ventilator-Associated Pneumonia in Critical Patients

LIU, Z.; ZHANG, W.

doi:10.36468/pharmaceutical-sciences.spl.206

Cited by 3 publications

(15 citation statements)

References 9 publications

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“…Therefore, the following RCTs were included in the present systematic review: Berti ( 33 ), Cader ( 34 ), Cader ( 42 ), Chen ( 35 ), Dong ( 36 ), Liu and Zhang ( 43 ), Martin ( 37 ), McCaughey ( 38 ), Pattanshetty and Gaude ( 39 ), Pinkaew et al ( 44 ), Sandoval Moreno ( 40 ), and Taniguchi ( 41 ).…”

Section: Resultsmentioning

confidence: 99%

“…The studies included were published between 2010 ( 39 ) and 2021 ( 36 ) and were conducted in America [United States n: 1 ( 37 ); Brazil n = 4 ( 33 , 34 , 41 , 42 ); Colombia n = 1 ( 40 )], Australia [ n = 1 ( 38 )], and Asia [China n = 2 ( 36 , 43 ), India n = 1 ( 39 ); Taiwan n = 1 ( 35 ); Thailand n = 1 ( 44 )].…”

Section: Resultsmentioning

confidence: 99%

“…The subject assessed in the different studies were characterized by a mean age ranging from 47.8 ± 14.72 ( 39 ) to 83 ± 3 ( 34 ) in the intervention group, while mean age ranged between 47.85 ( 43 ) and 82 ± 7 ( 34 ) in the comparator group.…”

Section: Resultsmentioning

confidence: 99%

“…Interestingly, respiratory muscle training has been the physiotherapy intervention most studied in the RCTs included in the present systematic review ( 34 , 37 , 38 , 40 , 42 , 43 ). On the other hand, three studies ( 36 , 39 , 40 ) assessed early mobilization/positioning, two studies ( 33 , 35 ) assessed airway clearance techniques (ACTs) and lung expansion, and one study ( 41 ) assessed automatic systems for MV weaning.…”

Section: Resultsmentioning

confidence: 99%

“…Respiratory muscle training: six studies ( 34 , 35 , 38 , 40 , 42 , 43 ) assessed respiratory muscle training proposing different therapeutic strategies. In particular, Cader et al ( 34 ) in 2010 assessed the effect of an IMT protocol twice a day, 7 days a week, 5 min per session.…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of Physiotherapy Interventions on Weaning in Mechanically Ventilated Critically Ill Patients: A Systematic Review and Meta-Analysis

et al. 2022

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Mechanical ventilation (MV) is currently considered a life-saving intervention. However, growing evidence highlighted that prolonged MV significantly affects functional outcomes and length of stay. In this scenario, controversies are still open about the optimal rehabilitation strategies for improving MV duration in ICU patients. In addition, the efficacy of physiotherapy interventions in critical ill patients without positive history of chronic respiratory conditions is still debated. Therefore, this systematic review of randomized controlled trials (RCTs) with meta-analysis aimed at characterizing the efficacy of a comprehensive physiotherapy intervention in critically ill patients. PubMed, Scopus, and Web of Science databases were systematically searched up to October 22, 2021 to identify RCTs assessing acute patients mechanical ventilated in ICU setting undergoing a rehabilitative intervention. The primary outcomes were MV duration, extubation, and weaning time. The secondary outcomes were weaning successful rate, respiratory function, ICU discharge rate and length of stay. Out of 2503 records, 12 studies were included in the present work. The meta-analysis performed in 6 RCTs showed a significant improvement in terms of MV duration (overall effect size: −3.23 days; 95% CI = −5.79, −0.67, p = 0.01; Z = 2.47) in patients treated with a comprehensive physiotherapy intervention including early mobilization, positioning, airway clearance techniques, lung expansion and respiratory muscle training. The quality assessment underlined 9 studies (75%) of good quality and 3 studies of fair quality according to the PEDro scale. In conclusion, our results provided previously unavailable data about the role of comprehensive physiotherapy intervention in improving MV duration in critical ill patients without chronic respiratory conditions. Further studies are needed to better characterize the optimal combination of rehabilitation strategies enhancing the improvements in critical ill patients without chronic respiratory disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Efficacy of Physiotherapy Interventions on Weaning in Mechanically Ventilated Critically Ill Patients: A Systematic Review and Meta-Analysis

et al. 2022

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Ventilator-Associated Pneumonia Prevention in Pediatric Patients: Narrative Review

et al. 2022

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Ventilator-associated pneumonia (VAP), one of the most common healthcare-associated infections in intensive care settings, is associated with significant morbidity and mortality. VAP is diagnosed in >10% of patients on mechanical ventilation, incidence rising with number of ventilator days. In recent decades, the pathophysiology of VAP, VAP risk factors and treatment have been extensively studied. In critically ill pediatric patients, mechanical issues such as insufficient tightness of the ventilator circuit (mainly due to historically based preference of uncuffed tubes) and excessive humidity in the circuit are both significant risk factors of VAP development. Protocol-based approaches to critically ill patients on mechanical ventilation, closed suctioning, upper body position, enteral feeding and selective gastric acid suppression medication have a beneficial effect on VAP incidence. In recent decades, cuffed tubes applied to the whole spectrum of critically ill pediatric patients (except neonates <2700 g of weight), together with cuff-oriented nursing care including proper cuff-pressure (<20 cm H2O) management and the use of specialized tracheal tubes with subglottic suction ports combined with close infraglottic tracheal suctioning, have been implemented. The aim of this review was to summarize the current evidence-based knowledge about the pathophysiology, risk factors, diagnosis, treatment and prevention of VAP in clinically oriented settings.

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Application Value of Early Comprehensive Rehabilitation Nursing in Patients with Occupational Asthma

Zhong

2024

ODEM

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Background Occupational asthma is a type of asthma caused by exposure to asthma-causing substances in an occupational setting. Its incidence is closely related to the degree of industrial development, but also related to the nature of asthma. In some specific industries, such as workers who are exposed to asthmatic isocyanates for a long time, the incidence of occupational asthma can reach 5% -10%, and the incidence of occupational asthma can even reach 50% or higher among workers engaged in the detergent industry who are in contact with proteolytic enzymes for a long time. Objective To analyze the clinical value of early comprehensive rehabilitation nursing for patients with occupational asthma, methods a total of 48 patients with occupational asthma who were admitted from January 2020 to December 2022 were divided into control group and study group by random number table method The disappearance time of chest tightness and shortness of breath, the disappearance time of wheezing and cough, and the FEV1, forced vital capacity (FVC) and peak expiratory flow (PEF) indexes before and after treatment were compared between the two groups after nursing, the disappearance time of clinical symptoms in the study group was shorter than that in the control group, and the levels of FEV1, FVC and PEF were higher than those in the control group, and the P < 0.05 was significantly improved.

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Effect of Comprehensive Rehabilitation Intervention on the Occurrence of Ventilator-Associated Pneumonia in Critical Patients

Cited by 3 publications

References 9 publications

Efficacy of Physiotherapy Interventions on Weaning in Mechanically Ventilated Critically Ill Patients: A Systematic Review and Meta-Analysis

Efficacy of Physiotherapy Interventions on Weaning in Mechanically Ventilated Critically Ill Patients: A Systematic Review and Meta-Analysis

Ventilator-Associated Pneumonia Prevention in Pediatric Patients: Narrative Review

Application Value of Early Comprehensive Rehabilitation Nursing in Patients with Occupational Asthma

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