OBJECTIVE: To evaluate the role of continuous lateral rotational therapy on the development of ventilator-associated pneumonia in patients requiring long-term mechanical ventilation. DESIGN: Prospective control study. SETTING: Chronic ventilator unit in tertiary care hospital. METHODS: Thirty-seven patients requiring long-term mechanical ventilation were assigned to receive either continuous lateral rotational therapy or conventional therapy. RESULTS: Patients receiving continuous lateral rotational therapy had a significantly lower prevalence of pneumonia (17.6%) as compared with control patients (50%, p<.05). The development of pneumonia after being entered into the study was also significantly delayed in continuous lateral rotational therapy patients, 29 +/- 8 days vs. 12 +/- 2 days in controls (p <.05). However, unit mortality, total ventilator days, and the number of patients successfully weaned were not significantly different between groups. CONCLUSION: In patients requiring long-term ventilator care, continuous lateral rotational therapy reduced the prevalence of pneumonia but did not seem to affect mortality or the period of mechanical ventilation.
OBJECTIVE: To evaluate the role of continuous lateral rotational therapy on the development of ventilator-associated pneumonia in patients requiring long-term mechanical ventilation. DESIGN: Prospective control study. SETTING: Chronic ventilator unit in tertiary care hospital. METHODS: Thirty-seven patients requiring long-term mechanical ventilation were assigned to receive either continuous lateral rotational therapy or conventional therapy. RESULTS:Patients receiving continuous lateral rotational therapy had a significantly lower prevalence of pneumonia (17.6%) as compared with control patients (50%, p<.05). The development of pneumonia after being entered into the study was also significantly delayed in continuous lateral rotational therapy patients, 29 +/- 8 days vs. 12 +/- 2 days in controls (p <.05). However, unit mortality, total ventilator days, and the number of patients successfully weaned were not significantly different between groups. CONCLUSION: In patients requiring long-term ventilator care, continuous lateral rotational therapy reduced the prevalence of pneumonia but did not seem to affect mortality or the period of mechanical ventilation.
Authors: Peter Schellongowski; Heidrun Losert; Gottfried J Locker; Klaus Laczika; Michael Frass; Ulrike Holzinger; Andja Bojic; Thomas Staudinger Journal: Intensive Care Med Date: 2007-01-25 Impact factor: 17.440
Authors: Stijn I Blot; Sonia Labeau; Dominique Vandijck; Paul Van Aken; Brigitte Claes Journal: Intensive Care Med Date: 2007-06-01 Impact factor: 17.440
Authors: Enrico M Clini; Francesca Degli Antoni; Michele Vitacca; Ernesto Crisafulli; Mara Paneroni; Sheila Chezzi-Silva; Maurizio Moretti; Ludovico Trianni; Leonardo M Fabbri Journal: Intensive Care Med Date: 2006-10-24 Impact factor: 17.440
Authors: Donald R Noll; Brian F Degenhardt; Thomas F Morley; Francis X Blais; Kari A Hortos; Kendi Hensel; Jane C Johnson; David J Pasta; Scott T Stoll Journal: Osteopath Med Prim Care Date: 2010-03-19