The Effect of Speaking Valves on ICU Mobility of Individuals With Tracheostomy.


Journal

Respiratory care
ISSN: 1943-3654
Titre abrégé: Respir Care
Pays: United States
ID NLM: 7510357

Informations de publication

Date de publication:
Feb 2020
Historique:
pubmed: 17 10 2019
medline: 15 12 2020
entrez: 17 10 2019
Statut: ppublish

Résumé

Early mobilization is part of the rehabilitation process for critically ill patients and is currently considered a means of preventing ICU-acquired muscle deterioration and worsening of physical function. We sought to determine whether the use of speaking valves in tracheostomized patients would improve their mobility. We evaluated the changes in mobility performance with the use of speaking valves in tracheostomized subjects. We performed a cohort study of a series of subjects who were tracheostomized and were being weaned from mechanical ventilation between April 2016 and May 2018. The subjects were those able to tolerate a speaking valve for a minimum of 30 min. Demographic data, comorbidities, cause of ICU admission, days in the ICU, duration of mechanical ventilation before tracheostomy, and days free from mechanical ventilation before tracheostomy were collected. Mobility status was evaluated using daily measurements of the Perme Intensive Care Unit Mobility Score. During the study period, 63 patients were tracheostomized. Patients with deficiencies in language ( The use of speaking valves in tracheostomized subjects improved mobility.

Sections du résumé

BACKGROUND BACKGROUND
Early mobilization is part of the rehabilitation process for critically ill patients and is currently considered a means of preventing ICU-acquired muscle deterioration and worsening of physical function. We sought to determine whether the use of speaking valves in tracheostomized patients would improve their mobility. We evaluated the changes in mobility performance with the use of speaking valves in tracheostomized subjects.
METHODS METHODS
We performed a cohort study of a series of subjects who were tracheostomized and were being weaned from mechanical ventilation between April 2016 and May 2018. The subjects were those able to tolerate a speaking valve for a minimum of 30 min. Demographic data, comorbidities, cause of ICU admission, days in the ICU, duration of mechanical ventilation before tracheostomy, and days free from mechanical ventilation before tracheostomy were collected. Mobility status was evaluated using daily measurements of the Perme Intensive Care Unit Mobility Score.
RESULTS RESULTS
During the study period, 63 patients were tracheostomized. Patients with deficiencies in language (
CONCLUSIONS CONCLUSIONS
The use of speaking valves in tracheostomized subjects improved mobility.

Identifiants

pubmed: 31615923
pii: respcare.06768
doi: 10.4187/respcare.06768
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

144-149

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2020 by Daedalus Enterprises.

Déclaration de conflit d'intérêts

The authors have disclosed no conflicts of interest.

Auteurs

Camila Ceron (C)

ICU of Moinhos de Vento Hospital, Porto Alegre, Brazil.

Danielle Otto (D)

ICU of Moinhos de Vento Hospital, Porto Alegre, Brazil.

Alana Verza Signorini (AV)

ICU of Moinhos de Vento Hospital, Porto Alegre, Brazil.

Marco Colomé Beck (MC)

ICU of Moinhos de Vento Hospital, Porto Alegre, Brazil.

Marcio Camilis (M)

ICU of Moinhos de Vento Hospital, Porto Alegre, Brazil.

Daniel Sganzerla (D)

ICU of Moinhos de Vento Hospital, Porto Alegre, Brazil.

Régis Goulart Rosa (RG)

ICU of Moinhos de Vento Hospital, Porto Alegre, Brazil.

Cassiano Teixeira (C)

ICU of Moinhos de Vento Hospital, Porto Alegre, Brazil. cassiano.rush@gmail.com.
ICU of Clínicas Hospital, Porto Alegre, Brazil.

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Classifications MeSH