Download PDF
intensiv 2017; 25(05): 240-245
DOI: 10.1055/s-0043-112974
Intensivpflege
Atemphysiotherapie
Georg Thieme Verlag KG Stuttgart · New York

Hilft das auch langfristig?

Jochen Bräunig
,
Björn Ellger
,
Antje Gottschalk
Further Information

Publication History

Publication Date:
06 September 2017 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Auswirkungen auf das Langzeit-Outcome (Teil 2) Atemphysiotherapie kann sich positiv auf kritisch kranke und invasiv beatmete Patienten auswirken. Diverse Studien, die sich mit diesem Thema befassen, haben wir Ihnen im ersten Teil des Beitrags vorgestellt. Im zweiten Teil stellen wir Ihnen nun die Defizite der Studien vor und gehen der Frage nach, ob Atemphysiotherapie auch mit Blick auf das Langzeit-Outcome von Intensivpatienten eine Rolle spielt.

 

  • Literatur

  • 1 Stiller K. Physiotherapy in intensive care: an updated systematic review. Chest 2013; Sep 144 (03) 825-47
    CrossrefPubMedGoogle Scholar
  • 2 Calvo-Ayala E. et al. Interventions to improve the physical function of ICU survivors: a systematic review. Chest 2013; Nov 144 (05) 1469-80
    CrossrefPubMedGoogle Scholar
  • 3 Li Z. et al. Active mobilization for mechanically ventilated patients: a systematic review. Arch Phys Med Rehabil 2013; Mar 94 (03) 551-61
    CrossrefPubMedGoogle Scholar
  • 4 Striebel H. Anästhesie, Intensivmedizin, Notfallmedizin. Für Studium und Ausbildung. 6 Aufl.. Stuttgart: Schattauer; 2006
    Google Scholar
  • 5 Gottschalk A. et al. Early goal directed Physiotherapy in Patients undergoing Extracorporeal cardiac life support. International Journal of Scientific & Engineering Research. 7. Issue1, January 2016
    PubMedGoogle Scholar
  • 6 Deiml R. Ausgewählte Themen zur Operativen Intensivmedizin. 6 Aufl.. Hamburg: Rodulf Deiml; 2012. S. 20, 26, 200, 202
    Google Scholar
  • 7 Van Gestel AJR, Teschler H. Physiotherapie bei chronischen Atemwegs-und Lungenerkrankungen. 2 Aufl.. Berlin: Springer; 2014
    Google Scholar
  • 8 Gunay S. et al. Evaluation of two different physiotherapy methods after thoracoscopy with regard to arterial blood gas, respiratory function test, number of days until discharge, cost analysis, comfort and pain control. Nigerian Journal of Clinical Practise. 2016 19. Issue 3
    PubMedGoogle Scholar
  • 9 Holdsworth C. et al. Mobilization of ventilated patients in the intensive care unit: An elicitation study using the theory of planned behavior. J Crit Care 2015; Dec 30 (06) 1243-50
    CrossrefPubMedGoogle Scholar
  • 10 Taniguchi C. et al. Smart Care™ versus respiratory physiotherapy-driven manual weaning for critically ill adult patients: a randomized controlled trial. Crit Care 2015; Jun 11 19: 246
    CrossrefPubMedGoogle Scholar
  • 11 Nessizius S. Physiotherapy in Intensive Care Medicine. Med Klin Intensivmed Notfmed 2014; 109 (07) 547-54
    CrossrefPubMedGoogle Scholar
  • 12 Briegel I. et al. Quality of results of therapy of acute respiratory failure: changes over a period of two decades. Anaesthesist 2013; Apr 62 (04) 261-70
    CrossrefPubMedGoogle Scholar
  • 13 Castro AA. et al. Chest physiotherapy effectiveness to reduce hospitalization and mechanical ventilation length of stay, pulmonary infection rate and mortality in ICU patients. Respir Med 2013; Jan 107 (01) 68-74
    CrossrefPubMedGoogle Scholar
  • 14 Dennis D. et al. Ventilator versus manual hyperinflation in clearing sputum in ventilated intensive care unit patients. Anaesth Intensive Care 2012; Jan 40 (01) 142-9
    CrossrefPubMedGoogle Scholar
  • 15 Cader SA. et al. Extubation process in bed-ridden elderly intensive care patients receiving inspiratory muscle training: a randomized clinical trial. Clin Interv Aging 2012; 7: 437-43
    PubMedGoogle Scholar
  • 16 Savci S. et al. Short-term effects of inspiratory muscle training in coronary artery bypass graft surgery: a randomized controlled trial. Scand Cardiovasc J 2011; Oct 45 (05) 286-93
    CrossrefPubMedGoogle Scholar
  • 17 Yang PH. et al. Outcome of physical therapy intervention on ventilator weaning and functional status. J Med Sci 2010; Jul 26 (07) 366-72
    Google Scholar
  • 18 Templeton M, Palazzo MG. Chest physiotherapy prolongs duration of ventilation in the critically ill ventilated for more than 48 hours. Intensive Care Med 2007; Nov 33 (11) 1938-45
    CrossrefPubMedGoogle Scholar
  • 19 Nilius G. et al. Kontinuierliche Messungen des Rapid shallow breathing Index (RSBI) bei Spontanatmungsversuchen im Weaning-Prozess. Pneumologie 2007; 61 V227–260
    Google Scholar
  • 20 Segal LN. et al. Use of the rate of change of the RSBI during spontaneous breathing trial as an accurate predictor of weaning outcome. Vortrag im Rahmen des Society of Critical Care Medicine’s 35th Critical Care Congress. 2016. January 10 San Francisco, California (USA):
    Google Scholar