![]() ![]() Monocentric, prospective, descriptive study, including all neurogical patient hospitalized for > 48 h in ICU with initial mechanical ventilation from mid-February to mid-September 2018 (excluding deceased patients). Safety involved rate of adverse events, changes in vital parameters, pain. Feasibility involved proportion of patients who benefited from suspension walking, reasons for not using it, physiotherapists’ time required. To study the feasibility and safety of walking with the weight suspension system in a neuroICU. In the neuro-ICU of Montpellier university hospital, a weight suspension system (LiteGait ®) is used. ![]() Verticalization for neurologic patients in ICU is challenging because of neurological impairments, risks of falls and of clinical worsening. ![]() Current literature and French guidelines recommend early mobilization in Intensive Care Units (ICU), including verticalization and walking. In vivo measurements in patients should be done to confirm this finding.ĬOK-2 Early verticalization in neurologic intensive care units with a weight suspension system Margrit Ascher ( speaker), Francisco Miron Duran, Fanny Pradalier, Claire Jourdan, Kevin Chalard, Flora Djanikian, Isabelle Laffont, Pierre-François Perrigault CHU Montpellier, Montpellier, FRANCE Correspondence: Margrit Ascher - of Intensive Care 2019, 9(Suppl 1):COK-2 For the other conditions, the collapsible tube significantly increased PCF at 30 cm H 2O expiratory pressure and the gap further increased above this pressure because the slope increased with the collapsible tube.Ĭonclusion: We found that peak expiratory was higher with than without collapsible tube. For the C20R5 condition the effect of the collapsible tube on the intercept (− 0.35 cm H 2O) was not significant but this was offset by a significant increase in slope (+ 0.12 L s cm H 2O). Results: Contrary to our hypothesis, the peak expiratory flow during the first 100 ms of exsufflation phase is higher with than without the collapsible tube in every C-R condition, as shown in figure 1. The corresponding pressure was also recorded. The peak expiratory flow during the first 100 ms after onset of expiration was taken as the surrogate of PCF. #Download mouse recorder pro 2.0.7.4 softwareEach set was recorded by using a data logger (Biopac 150, Biopac inc.) and the last 5 cycles were used for the analysis done by using Acqknowledge software (Biopac inc.). MI-E device was set in automatic mode with inspiratory time of 3 s, expiratory time of 3.2 s and pause of 2 s. For each C-R combination, we set ± 30, ± 40 and ± 50 cmH2O inspiratory expiratory pressure at the MI-E device. Six C-R combinations were tested, each with and without the collapsible tube. Flow and pressure were proximal to the lung simulator. #Download mouse recorder pro 2.0.7.4 simulatorPatients and methods: We used a lung simulator (TTL Michigan Instruments) with adjustable compliance (C) and resistance (R) to which a MI-E (CoughAssist E70, Philips-Respironics) was attached, with or without a latex collapsible tube. ![]() Our hypothesis was that PCF was lower with than without collapsible tube. The goal of present study was to carry out a bench study to assess the effect of MI-E on PCF with and without the presence of a collapsible tube. Tracheomalacia is another disease that may impede PCF to increase with MI-E device. Upper airways collapse is frequently associated with neuromuscular disease and may compromise MI-E efficacy. The assessment of the efficacy of MI-E device is commonly done by measuring peak cough flow (PCF). Introduction: Mechanical Insufflation-Exsufflation (MI-E) by using a specific device is commonly used to increase weak cough, as in patients with chronic neuromuscular weakness or in intensive care unit (ICU) patients with ICU-acquired neuro-myopathy. COK-1 Bench assessment of the effect of a collapsible tube on the efficacy of a mechanical insufflation-exsufflation device Romain Lachal ( speaker) Réanimation médicale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, FRANCE Correspondence: Romain Lachal - of Intensive Care 2019, 9(Suppl 1):COK-1 ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |