Feasibility and safety of in-bed cycling for physical rehabilitation in the intensive care unit

Journal of Critical Care
Michelle E KhoDale M Needham

Abstract

The purpose was to evaluate the feasibility and safety of in-bed cycle ergometry as part of routine intensive care unit (ICU) physical therapist (PT) practice. Between July 1, 2010, and December 31, 2011, we prospectively identified all patients admitted to a 16-bed medical ICU receiving cycling by a PT, prospectively collected data on 12 different potential safety events, and retrospectively conducted a chart review to obtain specific details of each cycling session. Six hundred eighty-eight patients received PT interventions, and 181 (26%) received a total of 541 cycling sessions (median [interquartile range {IQR}] cycling sessions per patient, 2 [1-4]). Patients' mean (SD) age was 57 (17) years, and 103 (57%) were male. The median (IQR) time from medical ICU admission to first PT intervention and first cycling session was 2 (1-4) and 4 (2-6) days, respectively, with a median (IQR) cycling session duration of 25 (18-30) minutes. On cycling days, the proportion of patients receiving mechanical ventilation, vasopressor infusions, and continuous renal replacement therapy was 80%, 8%, and 7%, respectively. A single safety event occurred, yielding a 0.2% event rate (95% upper confidence limit, 1.0%). Use of in-bed cycling as part ...Continue Reading

References

May 10, 2005·Journal of Clinical Epidemiology·Dianne L GrollJames G Wright
Jul 4, 2008·Critical Care Medicine·Peter E MorrisEdward Haponik
Jul 23, 2009·Critical Care Medicine·Chris BurtinRik Gosselink
Nov 28, 2009·Journal of Critical Care·Jennifer M ZanniDale M Needham
Feb 6, 2010·Critical Care Medicine·Dale M NeedhamEddy Fan
Nov 26, 2010·PM & R : the Journal of Injury, Function, and Rehabilitation·Janice L ZimbelmanVernon W-H Lin
Apr 8, 2011·The New England Journal of Medicine·Margaret S HerridgeUNKNOWN Canadian Critical Care Trials Group
Jul 13, 2013·Journal of Critical Care·Pedro A Mendez-TellezDale M Needham
Aug 21, 2013·Chest·Enrique Calvo-AyalaMalaz A Boustani
Oct 10, 2013·Critical Care : the Official Journal of the Critical Care Forum·Ann ParkerDale M Needham
Jan 31, 2014·Intensive Care Medicine·Cheryl E HickmannPierre-François Laterre

❮ Previous
Next ❯

Citations

Mar 22, 2016·Chest·Mohamed D HashemDale M Needham
Jan 7, 2017·World Journal of Gastroenterology : WJG·Tomohide HoriTsunehiro Yoshimura
Jan 20, 2018·Acta Anaesthesiologica Scandinavica·M RingdalC Rylander
Apr 9, 2019·BMJ Open Respiratory Research·Michelle E KhoDeborah J Cook
Jan 3, 2020·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Beth A FalkensteinYuri Rojavin
Jan 8, 2021·Pilot and Feasibility Studies·Anastasia N L NewmanUNKNOWN Canadian Critical Care Trials Group
Feb 15, 2021·Pulmonology·M PolastriF Tagariello

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Related Papers

Journal of Critical Care
Ruy Camargo Pires-NetoLinda Denehy
Hepatology : Official Journal of the American Association for the Study of Liver Diseases
Bernhard JägerValentin Fuhrmann
Critical Care Medicine
Daren HeylandCanadian Researchers at the End of Life Network
© 2021 Meta ULC. All rights reserved