Evaluating a Muscle Ultrasound Education Program: Theoretical Knowledge, Hands-on Skills, Reliability, and Satisfaction of Critical Care Physiotherapists

Simple item page
dc.contributor.authorGonzález, Felipe
dc.contributor.authorPinto, Juan José
dc.contributor.authorRíos, Francisco
dc.contributor.authorCamus, Agustín
dc.contributor.authorMayer, Kirby
dc.contributor.authorParry, Selina
dc.date.accessioned2022-03-24T15:28:47Z
dc.date.available2022-03-24T15:28:47Z
dc.date.issued2021
dc.description.abstractProne positioning is a therapy utilized globally to improve gas exchange, minimize ventilator-induced lung injury, and reduce mortality in ARDS, particularly during the ongoing coronavirus disease 2019 (COVID-19) pandemic. Whereas the respiratory benefits of prone positioning in ARDS have been accepted, the concurrent complications could be undervalued. Therefore, this study aimed to identify the adverse events (AEs) related to prone positioning in ARDS and, secondarily, to collect strategies and recommendations to mitigate these AEs. METHODS: In this scoping review, we searched recommendation documents and original studies published between June 2013 and November 2020 from 6 relevant electronic databases and the websites of intensive care societies. RESULTS: We selected 41 documents from 121 eligible documents, comprising 13 recommendation documents and 28 original studies (involving 1,578 subjects and 994 prone maneuvers). We identified > 40 individual AEs, and the highest-pooled occurrence rates were those of severe desaturation (37.9%), barotrauma (30.5%), pressure sores (29.7%), ventilation-associated pneumonia (28.2%), facial edema (16.7%), arrhythmia (15.4%), hypotension (10.2%), and peripheral nerve injuries (8.1%). The reported mitigation strategies during prone positioning included alternate face rotation (18 [43.9%]), repositioning every 2h (17 [41.5%]), and the use of pillows under the chest and pelvis (14 [34.1%]). The reported mitigation strategies for performing the prone maneuver comprised one person being at the headboard (23 [56.1%]), the use of a pre-maneuver safety checklist (18 [43.9%]), vital sign monitoring (15 [36.6%]), and ensuring appropriate ventilator settings (12 [29.3%]). CONCLUSIONS: We identified > 40 AEs reported in prone positioning ARDS studies, including additional AEs not yet reported by previous systematic reviews. The pooled AE proportions collected in this review could guide research and clinical practice decisions, and the strategies to mitigate AEs could promote future consensus-based recommendations.es
dc.description.versionVersión publicadaes
dc.identifier.citationGonzález-Seguel F, Pinto-Concha JJ, Ríos-Castro F, Silva-Gutiérrez A, Camus-Molina A, Mayer KP, Parry SM. Evaluating a Muscle Ultrasound Education Program: Theoretical Knowledge, Hands-on Skills, Reliability, and Satisfaction of Critical Care Physiotherapists. Arch Rehabil Res Clin Transl. 2021 Jul 13;3(3):100142. doi: 10.1016/j.arrct.2021.100142.es
dc.identifier.urihttps://doi.org/10.1016/j.arrct.2021.100142es
dc.identifier.urihttp://hdl.handle.net/11447/5795
dc.language.isoenes
dc.subjectcoefficient of variationes
dc.subjectCritical carees
dc.subjectEducationes
dc.subjectICCes
dc.subjectintraclass correlation coefficientes
dc.subjectICUes
dc.subjectIntensive care unites
dc.subjectnterquartile rangees
dc.subjectIQRes
dc.subjectKnowledge assessmentes
dc.subjectMuscle ultrasoundes
dc.subjectMuscular atrophyes
dc.subjectPennation anglees
dc.subjectPhysiotherapyes
dc.subjectQCes
dc.subjectQuadriceps complexes
dc.subjectRectus femorises
dc.subjectRehabilitationes
dc.subjectStandard error of measurementes
dc.subjectUltrasonographyes
dc.subjectVastus intermediuses
dc.subjectVLes
dc.subjectVastus lateralises
dc.titleEvaluating a Muscle Ultrasound Education Program: Theoretical Knowledge, Hands-on Skills, Reliability, and Satisfaction of Critical Care Physiotherapistses
dc.typeArticlees
dcterms.sourceArchives of rehabilitation research and clinical translationes

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Adverse Events of Prone Positioning in Mechanically Ventilated Adults With ARDS.pdf
Size:
208.78 KB
Format:
Adobe Portable Document Format
Description:
Texto completo
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services