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Settings and monitoring of mechanical ventilation during physical therapy in adult critically ill patients: protocol for a scoping review

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dc.contributor.author González-Seguel, Felipe
dc.contributor.author Camus-Molina, Agustín
dc.contributor.author Jasmén, Anita
dc.contributor.author Pérez, Rodrigo
dc.contributor.author Molina, Jorge
dc.contributor.author Graf, Jerónimo
dc.date.accessioned 2019-08-29T16:51:41Z
dc.date.available 2019-08-29T16:51:41Z
dc.date.issued 2019
dc.identifier.citation BMJ Open 2019; 9 es
dc.identifier.uri http://dx.doi.org/10.1136/ bmjopen-2019-030692 es
dc.identifier.uri http://hdl.handle.net/11447/2601
dc.description.abstract Introduction Early mobilisation has been extensively advocated to improve functional outcomes in critically ill patients, even though consistent evidence of its benefits has remained elusive. These conflicting results could be explained by a lack of knowledge on the optimal dosage of physical therapy and a mismatch between ventilatory support and exercise-induced patient ventilatory demand. Modern mechanical ventilators provide realtime monitoring of respiratory/metabolic variables and ventilatory setting that could be used for physical therapy dosage or ventilatory support titration, allowing individualised interventions in these patients. The aim of this review is to comprehensively map and summarise current knowledge on adjustments of respiratory support and respiratory or metabolic monitoring during physical therapy in adult critically ill mechanically ventilated patients. Methods and analysis This is a scoping review protocol based on the methodology of the Joanna-Briggs-Institute. The search strategy will be conducted from inception to 30 June 2019 as a cut-off date in PubMed, CINAHL, Rehabilitation & Sport Medicine, Scielo Citation Index, Epistemónikos, Clinical Trials, PEDro and Cochrane Library, performed by a biomedical librarian and two critical care physiotherapists. All types of articles will be selected, including conference abstracts, clinical practice guidelines and expert recommendations. Bibliometric variables, patient characteristics, physical therapy interventions, ventilator settings and respiratory or metabolic monitoring will be extracted. The identified literature will be analysed by four critical care physiotherapists and reviewed by a senior critical care physician. Ethics and dissemination Ethical approval is not required. The knowledge-translation of the results will be carried out based on the End-of-Grant strategies: diffusion, issemination and application. The results will be published in a peer-review journal, presentations will be disseminated in relevant congresses, and recommendations based on the results will be developed through training for mechanical ventilation and physical therapy takeholders. es
dc.format.extent 5 p. es
dc.language.iso en es
dc.subject Mechanical ventilation es
dc.subject Physical therapy es
dc.subject Critically ill patients es
dc.subject Scoping review es
dc.title Settings and monitoring of mechanical ventilation during physical therapy in adult critically ill patients: protocol for a scoping review es
dc.type Article es


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