Document Detail


Muscle retraining in ICU patients.
MedLine Citation:
PMID:  15148840     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The general aim of an ICU respiratory rehabilitation programme is to improve the patient's measured quality of life. It can be done by applying advanced therapeutic modalities in order to improve the remaining functions and to decrease the patient's dependency as well as the risks associated with an ICU admission. A number of physiological changes involve all the body systems as a consequence of a bed-rest period and play an important role in the weaning failure of ventilated patients. Inactivity muscle mass declines from the first week of ICU admission, as well as the muscle's ability to perform aerobic exercise. The respiratory muscles strength and endurance decreases, also the ventilatory pump and the cardiovascular response to exercise may be alterated. Disorientation, and disfunction of the Central Nervous System may occur. The aim of this review is to analyse the usefulness of skeletal and respiratory muscle training in improving strength, endurance and decreasing dyspnea at rest and during exercise and the role of rehabilitation in obtaining maximal functional capacity of ICU patients.
Authors:
S Cirio; G C Piaggi; E De Mattia; S Nava
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace / Fondazione clinica del lavoro, IRCCS [and] Istituto di clinica tisiologica e malattie apparato respiratorio, Università di Napoli, Secondo ateneo     Volume:  59     ISSN:  1122-0643     ISO Abbreviation:  Monaldi Arch Chest Dis     Publication Date:    2003 Oct-Dec
Date Detail:
Created Date:  2004-05-19     Completed Date:  2004-06-15     Revised Date:  2008-06-02    
Medline Journal Info:
Nlm Unique ID:  9307314     Medline TA:  Monaldi Arch Chest Dis     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  300-3     Citation Subset:  IM    
Affiliation:
Respiratory Intensive Care Unit, Salvatore Maugeri Foundation, IRCCS, Scientific Institute of Pavia, Via Ferrata 8, 27100 Pavia, Italy.
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MeSH Terms
Descriptor/Qualifier:
Breathing Exercises
Critical Care / methods
Exercise Therapy / methods*
Female
Humans
Immobilization / adverse effects
Intensive Care Units
Male
Muscle, Skeletal / physiology*
Pulmonary Disease, Chronic Obstructive / rehabilitation*
Sensitivity and Specificity

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