Application of self-made "medical ventilation chair" in patients with acute respiratory distress syndrome in prone position / 中国实用护理杂志

Objective:To investigate the effect of self-made medical ventilation chair in patients with acute respiratory distress syndrome (ARDS) ventilated in prone position, with the aim of reducing the occurrence of complications in patients with ARDS ventilated in prone position.Methods:This study was a quasi experimental research method. In this study, 78 patients admitted to the respiratory intensive care unit of Changsha Central Hospital affiliated to South China University from October 2019 to September 2021 were selected for the study by convenience sampling method, and were divided into a control group and a experimental group according to the order of admission, with 39 cases in each group. The experimental group was ventilated in the prone position using a self-made medical ventilation chair, and the control group was ventilated in the prone position using the conventional turning method, comparing the facial skin injury, tracheal displacement, tracheal tube obstruction, and RICU hospitalization time in the two groups.Results:At the end of prone position ventilation, the incidence of facial skin intact and redness and swelling was 56.41% (22/39) and 43.59% (17/39) in the experimental group and 25.64% (10/39) and 69.23% (27/39) in the control group, respectively, with statistically significant differences ( χ2=7.63, 5.21, both P<0.05); there was no statistically significant difference in the incidence of facial skin breakdown between the two groups ( P>0.05); the incidence of complications was 5.13% (2/39) in the experimental group and 20.51% (8/39) in the control group, with statistically significant differences ( χ2=4.13, P<0.05); the duration of RICU stay was (13.34 ± 3.85) days in the experimental group and ( 15.80 ± 5.55) days, with a statistically significant difference ( t=2.25, P<0.05). Conclusions:The use of self-made medical ventilation chair can reduce the facial skin damage of patients, reduce the occurrence of related complications, and shorten the hospitalization time of RICU. It is worth popularizing and applying in ICU.

Recrutamento alveolar na Síndrome do desconforto respiratório agudo / Alveolar recruitment in Acute respiratory syndrome of desconfort

Objetivo: revisar conceitos atuais relacionados às técnicas fisioterapêuticas utilizadas para recrutar alvéolos colap-sados na Síndrome do desconforto respiratório agudo, identificando seus possíveis benefícios, riscos e cuidados a serem tomados na aplicação da manobra de recrutamento alveolar Método: realizado levantamento bibliográfico nas seguintes bases de pesquisa: PubMed, Google Acadêmico e SciELO nos últimos 10 anos (2003-2013). Foram incluídos artigos publicados em língua portuguesa e inglesa. Considerações finais: a manobra de recrutamento alveolar ideal será aquela que garantir menores efeitos hemodinâmicos e fisiológicos melhorando o prognóstico de pacientes com síndrome do desconforto respiratório agudo.

Objective: to review current concepts related ace physical therapy techniques used to recruit collapsed alveoli in acute respiratory distress syndrome, identifying its potential benefits, risks and precautions to be taken in the application of recruitment maneuvers. Method: performed bibliographic research on the following bases: PubMed, Google Scholar and SciELO the last 10 years (2003-2013). We included articles published in English and Portuguese. Conclusion: the recruitment maneuver ideal one that will ensure lower hemodynamic and physiologic improving the prognosis of patients with acute respiratory distress syndrome.