Differences in delivery of respiratory treatments by on-call physiotherapists in mechanically ventilated children: a randomised crossover trial

Physiotherapy
Harriet ShannonEleanor Main

Abstract

To investigate differences, if any, in the delivery of respiratory treatments to mechanically ventilated children between non-respiratory on-call physiotherapists and specialist respiratory physiotherapists. Paediatric, tertiary care hospital in the United Kingdom. 93 children (aged between 3 days and 16 years), and 22 physiotherapists (10 specialist respiratory physiotherapists) were recruited to the study. Recruited children received two physiotherapy treatments during a single day, one delivered by a non-respiratory physiotherapist, the other by a specialist respiratory physiotherapist in a randomised order. Selection, delivery and effects of techniques were recorded for each treatment. Primary outcomes were selection and application of treatment components. Secondary outcomes included respiratory effects (in terms of changes in flow, volume and pressure) of selected treatment components. Both non-respiratory on-call physiotherapists and specialist respiratory physiotherapists used combinations of saline instillation, manual lung inflations, chest wall vibrations and endotracheal suction during treatments. However specialist respiratory physiotherapists used combinations of chest wall vibrations with suction, and recruitment...Continue Reading

References

Sep 22, 2000·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·S PatmanK Stiller
Mar 27, 2002·International Journal of Epidemiology·Diana R ElbourneAndy Vail
Mar 7, 2006·The Australian Journal of Physiotherapy·Bredge McCarrenRobert D Herbert
Jun 13, 2006·The Australian Journal of Physiotherapy·Brenda MorrowAndrew Argent
Aug 21, 2008·Anesthesia and Analgesia·Hermann HeinzeWolfgang Eichler
Jan 14, 2010·Physiotherapy Theory and Practice·Megan SmithElizabeth Ellis
Jun 15, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Rachael K GregsonEleanor Main

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