| Standing with the assistance of a tilt table improves minute ventilation in chronic critically ill patients. | |
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MedLine Citation:
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PMID: 15605335 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To investigate the effect of standing with assistance of the tilt table on ventilatory parameters and arterial blood gases in intensive care patients. DESIGN: Consecutive sample. SETTING: Tertiary referral hospital. PARTICIPANTS: Fifteen adult patients who had been intubated and mechanically ventilated for more than 5 days (3 subjects successfully weaned, 12 subjects being weaned). INTERVENTION: Passive tilting to 70 degrees from the horizontal for 5 minutes using a tilt table. MAIN OUTCOME MEASURES: Minute ventilation (VE), tidal volume (VT), respiratory rate, and arterial partial pressure of oxygen (PaO2) and carbon dioxide (PaCO2). RESULTS: Standing in the tilted position for 5 minutes produced significant increases in VE (P <.001) and produced both increases in respiratory rate (P <.001) and VT (P =.016) compared with baseline levels. These changes were maintained during the tilt intervention and immediately posttilt. Twenty minutes after the tilt, there were no significant changes in ventilatory measures of VE, VT, or arterial blood gases PaO2 and PaCO2 compared with initial values. CONCLUSIONS: Standing for 5 minutes with assistance of a tilt table significantly increased ventilation in critical care patients during and immediately after the intervention. There were no improvements in gas exchange posttilt. Using a tilt table provided an effective method to increase ventilation in the short term. |
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Authors:
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Angela T Chang; Robert J Boots; Paul W Hodges; Peter J Thomas; Jennifer D Paratz |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 85 ISSN: 0003-9993 ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2004 Dec |
Date Detail:
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Created Date: 2004-12-17 Completed Date: 2005-01-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 1972-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Physiotherapy, University of Queensland, St Lucia, Australia. a.chang@shrs.uq.edu.au |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Blood Gas Analysis Critical Illness / rehabilitation* Female Humans Intensive Care Units Male Middle Aged Physical Therapy Modalities / instrumentation* Posture / physiology* Pulmonary Ventilation / physiology* Respiration Respiration, Artificial* Tidal Volume / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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