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

Simple item page
dc.contributor.authorGonzález-Seguel, Felipe
dc.contributor.authorCamus-Molina, Agustín
dc.contributor.authorJasmén, Anita
dc.contributor.authorPérez-Araos, Rodrigo
dc.contributor.authorMolina, Jorge
dc.contributor.authorGraf, Jerónimo
dc.date.accessioned2019-08-29T16:51:41Z
dc.date.available2019-08-29T16:51:41Z
dc.date.issued2019
dc.description.abstractIntroduction 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.
dc.format.extent5 p.
dc.identifier.citationBMJ Open 2019; 9
dc.identifier.urihttp://hdl.handle.net/11447/2601
dc.identifier.urihttp://dx.doi.org/10.1136/ bmjopen-2019-030692
dc.language.isoen
dc.subjectMechanical ventilation
dc.subjectPhysical therapy
dc.subjectCritically ill patients
dc.subjectScoping review
dc.titleSettings and monitoring of mechanical ventilation during physical therapy in adult critically ill patients: protocol for a scoping review
dc.typeArticle

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Settings and monitoring of mechanical ventilation during physical therapy in adult critically ill patients- protocol for a scoping review 2019.pdf
Size:
556.09 KB
Format:
Adobe Portable Document Format
Description:
Artículo
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