OBJECTIVE: Femoral catheters pose a potential barrier to early rehabilitation in the intensive care unit (ICU) due to concerns, such as catheter removal, local trauma, bleeding, and infection. We prospectively evaluated the feasibility and safety of physical therapy (PT) in ICU patients with femoral catheters. DESIGN, SETTING, AND PATIENTS: We evaluated consecutive medical ICU patients who received PT with a femoral venous, arterial, or hemodialysis catheter(s) in situ. MEASUREMENTS AND MAIN RESULTS: Of 1074 consecutive patients, 239 (22%) received a femoral catheter (81% venous, 29% arterial, 6% hemodialysis; some patients had >1 catheter). Of those, 101 (42%) received PT interventions, while the catheter was in situ, for a total of 253 sessions over 210 medical ICU (MICU) days. On these 210 MICU days, the highest daily activity level achieved was 49 (23%) standing or walking, 57 (27%) sitting, 25 (12%) supine cycle ergometry, and 79 (38%) in-bed exercises. During 253 PT sessions, there were no catheter-related adverse events giving a 0% event rate (95% upper confidence limit of 2.1% for venous catheters). CONCLUSIONS: Physical therapy interventions in MICU patients with in situ femoral catheters appear to be feasible and safe. The presence of a femoral catheter should not automatically restrict ICU patients to bed rest.
OBJECTIVE: Femoral catheters pose a potential barrier to early rehabilitation in the intensive care unit (ICU) due to concerns, such as catheter removal, local trauma, bleeding, and infection. We prospectively evaluated the feasibility and safety of physical therapy (PT) in ICU patients with femoral catheters. DESIGN, SETTING, AND PATIENTS: We evaluated consecutive medical ICU patients who received PT with a femoral venous, arterial, or hemodialysis catheter(s) in situ. MEASUREMENTS AND MAIN RESULTS: Of 1074 consecutive patients, 239 (22%) received a femoral catheter (81% venous, 29% arterial, 6% hemodialysis; some patients had >1 catheter). Of those, 101 (42%) received PT interventions, while the catheter was in situ, for a total of 253 sessions over 210 medical ICU (MICU) days. On these 210 MICU days, the highest daily activity level achieved was 49 (23%) standing or walking, 57 (27%) sitting, 25 (12%) supine cycle ergometry, and 79 (38%) in-bed exercises. During 253 PT sessions, there were no catheter-related adverse events giving a 0% event rate (95% upper confidence limit of 2.1% for venous catheters). CONCLUSIONS: Physical therapy interventions in MICU patients with in situ femoral catheters appear to be feasible and safe. The presence of a femoral catheter should not automatically restrict ICU patients to bed rest.
Authors: Selina M Parry; Laura D Knight; Bronwen Connolly; Claire Baldwin; Zudin Puthucheary; Peter Morris; Jessica Mortimore; Nicholas Hart; Linda Denehy; Catherine L Granger Journal: Intensive Care Med Date: 2017-02-16 Impact factor: 17.440
Authors: Victor D Dinglas; Ann M Parker; Dereddi Raja S Reddy; Elizabeth Colantuoni; Jennifer M Zanni; Alison E Turnbull; Archana Nelliot; Nancy Ciesla; Dale M Needham Journal: Ann Am Thorac Soc Date: 2014-10
Authors: Janos Cambiaso-Daniel; Ioannis Malagaris; Eric Rivas; Gabriel Hundeshagen; Charles D Voigt; Elizabeth Blears; Ron P Mlcak; David N Herndon; Celeste C Finnerty; Oscar E Suman Journal: Pediatr Crit Care Med Date: 2017-12 Impact factor: 3.624
Authors: Anastasia N L Newman; Michelle E Kho; Jocelyn E Harris; Alison Fox-Robichaud; Patricia Solomon Journal: Physiother Can Date: 2021-06-07 Impact factor: 1.037