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Automated rotational therapy for the prevention of respiratory complications during mechanical ventilation

Publication ,  Journal Article
MacIntyre, NR; Helms, M; Wunderink, R; Schmidt, G; Sahn, SA
Published in: Respiratory Care
December 1, 1999

OBJECTIVE: Test the hypothesis that automated rotational therapy reduces the incidence of respiratory complications associated with mechanical ventilation. STUDY DESIGN: A prospective, randomized, multicenter trial. METHODS: Intubated mechanically ventilated patients who were free of respiratory infection were eligible. Patients were randomized to use either a standard intensive care unit bed or an automated rotational bed that could turn the patient up to 32 degrees from the horizontal 8 times per hour. Patients were followed until successful extubation, death, or the development of a lower respiratory tract inflammatory syndrome (LRIS). The development of other clinically important events (ie, cardiac, urinary, gastrointestinal, neuropsychiatric) were also recorded. RESULTS: There was no significant difference in the incidence of LRIS in the group that used automated rotational beds as compared to the control group (17% vs 26%, p = 0.15). There was a significantly lower incidence of urinary tract infection (11% vs 27%, p < 0.05) in the patients treated with automated rotational beds. Nurses noted the development of anxiety in 8 patients on the automated rotational beds. No other significant differences in the development of other clinical events were observed. CONCLUSION: In this study, the automated lateral rotational bed and the turning strategy employed with that bed showed no statistically significant advantage over standard ICU patient-turning procedures in the prevention of lower respiratory tract inflammation.

Duke Scholars

Published In

Respiratory Care

ISSN

0020-1324

Publication Date

December 1, 1999

Volume

44

Issue

12

Start / End Page

1447 / 1451

Related Subject Headings

  • Respiratory System
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology
 

Citation

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MacIntyre, N. R., Helms, M., Wunderink, R., Schmidt, G., & Sahn, S. A. (1999). Automated rotational therapy for the prevention of respiratory complications during mechanical ventilation. Respiratory Care, 44(12), 1447–1451.
MacIntyre, N. R., M. Helms, R. Wunderink, G. Schmidt, and S. A. Sahn. “Automated rotational therapy for the prevention of respiratory complications during mechanical ventilation.” Respiratory Care 44, no. 12 (December 1, 1999): 1447–51.
MacIntyre NR, Helms M, Wunderink R, Schmidt G, Sahn SA. Automated rotational therapy for the prevention of respiratory complications during mechanical ventilation. Respiratory Care. 1999 Dec 1;44(12):1447–51.
MacIntyre, N. R., et al. “Automated rotational therapy for the prevention of respiratory complications during mechanical ventilation.” Respiratory Care, vol. 44, no. 12, Dec. 1999, pp. 1447–51.
MacIntyre NR, Helms M, Wunderink R, Schmidt G, Sahn SA. Automated rotational therapy for the prevention of respiratory complications during mechanical ventilation. Respiratory Care. 1999 Dec 1;44(12):1447–1451.

Published In

Respiratory Care

ISSN

0020-1324

Publication Date

December 1, 1999

Volume

44

Issue

12

Start / End Page

1447 / 1451

Related Subject Headings

  • Respiratory System
  • 1103 Clinical Sciences
  • 1102 Cardiorespiratory Medicine and Haematology