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
Jul 1, 1996·Intensive Care Medicine·J L VincentL G Thijs
Mar 9, 2005·Critical Care Medicine·Dale M NeedhamAndreas Laupacis
May 10, 2005·Journal of Clinical Epidemiology·Dianne L GrollJames G Wright
Jul 4, 2008·Critical Care Medicine·Peter E MorrisEdward Haponik
Nov 28, 2008·Disability and Rehabilitation·Michel D LandryCheryl A Cott
May 19, 2009·Lancet·William D SchweickertJohn P Kress
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
Sep 17, 2013·PloS One·Ruy Camargo Pires-NetoCarlos Roberto Ribeiro Carvalho
Oct 10, 2013·Critical Care : the Official Journal of the Critical Care Forum·Ann ParkerDale M Needham
Dec 20, 2013·Critical Care Medicine·Peter NydahlDale M Needham
Jan 31, 2014·Intensive Care Medicine·Cheryl E HickmannPierre-François Laterre
Feb 11, 2014·Journal of Critical Care·Thiti SricharoenchaiDale M Needham
Apr 29, 2014·Journal of Critical Care·Selina M ParryLinda Denehy
Citations
Mar 22, 2016·Chest·Mohamed D HashemDale M Needham
Nov 25, 2016·Trials·Jan MehrholzBernhard Elsner
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
Apr 10, 2016·BMJ Open·Michelle E KhoUNKNOWN Canadian Critical Care Trials Group
Jul 7, 2020·Annals of the American Thoracic Society·Alyson TakaokaMichelle E Kho
Jan 3, 2020·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Beth A FalkensteinYuri Rojavin
Nov 29, 2016·Journal of Cachexia, Sarcopenia and Muscle·Bronwen ConnollyBronagh Blackwood
Apr 6, 2017·Physical Therapy·Ibtehal KimawiDale M Needham
Feb 1, 2018·Acute and Critical Care·Kyeongyoon WooSungwon Na
Oct 2, 2020·Critical Care Medicine·Kirby P MayerJavier A Neyra
Jan 8, 2021·Pilot and Feasibility Studies·Anastasia N L NewmanUNKNOWN Canadian Critical Care Trials Group
Feb 15, 2021·Pulmonology·M PolastriF Tagariello
Mar 23, 2021·Neurocritical Care·Elizabeth K ZinkMona N Bahouth
May 25, 2021·Disability and Rehabilitation·Anastasia N L NewmanPatricia Solomon
Nov 3, 2021·BMJ Open·Jean-Marc Mac-ThiongDavid S K Magnuson