Impact of whole-body rehabilitation in patients receiving chronic mechanical ventilation.

摘要: Objective: To evaluate the prevalence and magnitude of weakness in patients receiving chronic mechanical ventilation impact providing aggressive whole-body rehabilitation on conventional weaning variables, muscle strength, overall functional status. Design: Retrospective analysis 49 consecutive patients. Setting: Multidisciplinary ventilatory unit an academic medical center. Patients: Forty-nine ventilator-dependent referred to a tertiary care hospital ventilator unit. Interventions: None. Measurement Main Results: Patients were 58 ± 7 yrs old with multiple etiologies for respiratory failure. On admission, all bedridden had severe upper lower extremities measured by 5-point strength score 7-point Functional Independence Measurement. Postrehabilitation, increases extremity (p <.05) able stand ambulate. All weaned from ventilation, but three required subsequent intermittent support. Six died before discharge. Upper admission inversely correlated time wean (R =.72, p < .001). Conclusions: are weak deconditioned respond training improvement outcome, Whole-body should be considered significant component their therapy.