Feasibility and Safety of Physical Therapy during Continuous Renal Replacement Therapy in the Intensive Care Unit

Annals of the American Thoracic Society
Amy L ToonstraDale M Needham

Abstract

Early rehabilitation in an intensive care unit is associated with improved physical functioning and patient outcomes. However, relatively few data have been reported on physical therapy interventions during continuous renal replacement therapy (CRRT) for patients in intensive care units. To evaluate the feasibility and safety of physical therapy interventions, delivered as part of routine clinical care, for patients undergoing CRRT in an intensive care unit. Consecutive patients in the adult medical intensive care unit of one large tertiary care hospital who received physical therapy sessions while on CRRT were prospectively evaluated over 13 months. Physical therapy sessions were individualized on the basis of patients' physical impairments and activity tolerance, with patients' highest level of mobility recorded. Data on 15 different physiological abnormalities and potential safety events, including bleeding, dislodgement, or dysfunction of the CRRT catheter or circuit, were prospectively collected. Eleven physical therapists delivered 268 rehabilitation sessions to 57 patients while they were receiving CRRT, with the following highest levels of mobility achieved during individual sessions: 78 (29%) bed exercises, 72 (27%) su...Continue Reading

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Citations

Mar 22, 2016·Chest·Mohamed D HashemDale M Needham
Feb 24, 2017·Annals of the American Thoracic Society·Peter NydahlDale M Needham
Aug 18, 2020·PloS One·Haroon MunirMichael Goldfarb
Dec 18, 2018·Journal of Intensive Care·Julie C ReidMichelle E Kho
Aug 3, 2020·The Canadian Journal of Cardiology·Koorosh Semsar-KazerooniMichael Goldfarb
Sep 17, 2019·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Yu Jin SeoWon Kim
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Sep 30, 2021·Nursing in Critical Care·Joni Carlos do NascimentoRegina Claudia Silva Souza

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