Hi in response to your query,
If your patient is awake and co-operative as you suggest then she may be
able to participate in breathing exercises. However this will depend on the
trigger set on the ventilator and her respiratory muscle strength. If she
is making some effort for spontaneous ventilation it may be better if she
were ventilated on some type of assist mode e.g. SIMV etc but you would need
to discuss this with the Dr's I presume. If she is very productive and you
are aiming to clear these secretions then you would also need to consider
whether breathing exercises are the most effective form of physiotherapy
intervention
Good luck
Jane cross
Physiotherapy lecturer
UEA
Norwich , UK
-----Original Message-----
From: [log in to unmask]
[mailto:[log in to unmask]]On Behalf Of N.S.Bedekar
Sent: 11 September 1999 05:43
To: [log in to unmask]
Subject: ICU chest PT
Hello,
Thanks for all responses for my earlier problems. I always have a lot of
queries as at this part of the world we lack to get access to current
research. I am working (part time) as clilical educator/lecturer at colloge
of PT.
A patient has metabolic problems, is in acute respiratory distress, had
stroke. At present is in ICU, ventilated since 12 days. On volume control
40 % O2. Traceostomy has been done 3 days back. Has highly productive
lungs. On X-ray lung fields are hazy. HR fluctuates with PT interventions
and needs extremely gentle approach. She is awake and is able to cooperate
for very short durations.
My query is: Can we ask the patient to: Take deep breaths? (while the
tracheostomy+vol control).
Can the patient be talked to about breathing exs in this situation?
Thanks,
Nilima Bedekar
MSc MCSP
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