Literature DB >> 2344752

Effectiveness of the kinetic treatment table for preventing and treating pulmonary complications in severely head-injured patients.

T P Clemmer1, S Green, B Ziegler, C J Wallace, R Menlove, J F Orme, F Thomas, I Tocino, R O Crapo.   

Abstract

The efficacy of using the Kinetic Treatment Table (KTT) to prevent or reduce pulmonary complications in severely head-injured patients is unclear. This study is a prospective, randomized trial using the KTT vs. conventional bed care in severely head-injured patients. Outcome measures were hospital length of stay (LOS), mortality, CNS morbidity at hospital discharge, and rate of improvement of pulmonary status as gauged by chest radiograph, arterial/alveolar PO2 ratio, patient temperature, WBC count, suctioning frequency, sputum volume, and days on ventilator. The KTT group (n = 23) and conventional bed care group (n = 26) were well matched for age, sex, severity of injury, and pulmonary status. There was no significant difference in mortality, CNS morbidity, LOS in ICU or hospital, or rate of pulmonary improvement between the groups. The efficacy of the KTT in reducing pulmonary complications in head-injured patients remains unclear.

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Year:  1990        PMID: 2344752     DOI: 10.1097/00003246-199006000-00007

Source DB:  PubMed          Journal:  Crit Care Med        ISSN: 0090-3493            Impact factor:   7.598


  3 in total

Review 1.  Kinetic bed therapy to prevent nosocomial pneumonia in mechanically ventilated patients: a systematic review and meta-analysis.

Authors:  Anthony Delaney; Hilary Gray; Kevin B Laupland; Danny J Zuege
Journal:  Crit Care       Date:  2006-05-09       Impact factor: 9.097

2.  The acute effects of body position strategies and respiratory therapy in paralyzed patients with acute lung injury.

Authors:  K Davis; J A Johannigman; R S Campbell; A Marraccini; F A Luchette; S B Frame; R D Branson
Journal:  Crit Care       Date:  2000-01-29       Impact factor: 9.097

3.  S2e guideline: positioning and early mobilisation in prophylaxis or therapy of pulmonary disorders : Revision 2015: S2e guideline of the German Society of Anaesthesiology and Intensive Care Medicine (DGAI).

Authors:  Th Bein; M Bischoff; U Brückner; K Gebhardt; D Henzler; C Hermes; K Lewandowski; M Max; M Nothacker; Th Staudinger; M Tryba; S Weber-Carstens; H Wrigge
Journal:  Anaesthesist       Date:  2015-12       Impact factor: 1.041

  3 in total

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