A survey examining the use of mechanical insufflation-exsufflation on adult intensive care units across the UK.

Journal of the Intensive Care Society
Ema SwingwoodFiona Cramp

Abstract

Despite potential benefits, it is not known how widely physiotherapists use mechanical insufflation-exsufflation devices on UK adult intensive care units. This survey aimed to describe mechanical insufflation-exsufflation use in UK adult intensive care units. Cross-sectional electronic survey of physiotherapists working in a permanent post on adult intensive care units. One hundred and sixty-six complete surveys were available for analysis, reflecting a diverse geographical spread. Nearly all (98%; 163/166) clinicians had access to mechanical insufflation-exsufflation. The estimated frequency of use varied, with the majority reporting weekly or monthly use (52/163, 32%; 50/163, 31%, respectively). Nearly all clinicians (99%) used mechanical insufflation-exsufflation with extubated patients. In contrast, around half of respondents (86/163, 53%) used mechanical insufflation-exsufflation with intubated patients, with a range of perceived barriers reported. Mechanical insufflation-exsufflation devices are widely available on UK adult intensive care units, with use more common in extubated patients. Barriers to mechanical insufflation-exsufflation use in the intubated population warrant further investigation.

References

Jan 28, 2003·Current Opinion in Critical Care·Robert C Rothaar, Scott K Epstein
Mar 5, 2004·Intensive Care Medicine·Adil SalamConstantine A Manthous
May 2, 2007·The European Respiratory Journal·J-M BolesT Welte
Jul 19, 2011·Critical Care Medicine·Arnaud W ThilleLaurent Brochard
Mar 17, 2012·Critical Care : the Official Journal of the Critical Care Forum·Miguel R GonçalvesJosé Artur Paiva
Sep 21, 2013·BMC Medical Research Methodology·Nicola K GaleSabi Redwood
Sep 15, 2016·Respiratory Care·Louise RoseUNKNOWN CANuVENT Group
Mar 16, 2017·Intensive Care Medicine·Nicola LatronicoDale M Needham
Oct 27, 2017·International Journal of Nursing Studies·Sonja PhelanWendy Chaboyer
Mar 5, 2018·Respiratory Medicine·Michelle ChatwinBrenda M Morrow
Apr 5, 2018·Intensive Care Medicine Experimental·Miguel Sánchez-GarcíaAntonio Núñez-Reiz
Jul 19, 2018·Respiratory Care·Márcio Luiz Ferreira de CamillisCassiano Teixeira
Nov 19, 2018·Dental Clinics of North America·Julie Frantsve-Hawley, D Brad Rindal

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Citations

Aug 8, 2021·Journal of Clinical Medicine·Willemke StilmaFrederique Paulus

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