Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: The acute effects of body position strategies and respiratory therapy in paralyzed patients with acute lung injury. | Available online http content 5 2 081 Primary research The acute effects of body position strategies and respiratory therapy in paralyzed patients with acute lung injury Kenneth Davis Jr Jay A Johannigman Robert S Campbell Ann Marraccini Fred A Luchette Scott B Frame and Richard D Branson University of Cincinnati Cincinnati Ohio USA Correspondence Kenneth Davis Jr MD University of Cincinnati Department of Surgery 231 Bethesda Avenue Cincinnati OH 45267-0558 USA. Tel 1 513 558 3850 fax 1 513 558 3747 e-mail Received 28 September 2000 Revisions requested 14 November 2000 Revisions received 15 December 2000 Accepted 26 December 2000 Published 29 January 2001 Critical Care 2001 5 81-87 2001 Davis et al licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Background Routine turning of critically ill patients is a standard of care. In recent years specialized beds that provide automated turning have been introduced. These beds have been reported to improve lung function reduce hospital-acquired pneumonia and facilitate secretion removal. This trial was designed to measure the physiological effects of routine turning and respiratory therapy in comparison with continuous lateral rotation CLR . Methods The study was a prospective quasi-experimental random assignment trial with patients serving as their own controls. Paralyzed sedated patients with acute respiratory distress syndrome were eligible for study. Patients were randomized to receive four turning and secretion management regimens in random sequence for 6 h each over a period of 24 h 1 routine turning every 2 h from the left to right lateral position 2 routine turning every 2 h from the left to right lateral position including a 15-min period of manual percussion and postural drainage P PD 3 CLR with a specialized bed that turned patients from left to right lateral position pausing at each position for 2 min and 4 CLR with a specialized bed that turned .
