Steps to Recovery; Body weight-supported treadmill training for patients in the intensive care unit: a feasibility study - Steps to Recovery

Academisch Medisch Centrum0 个研究点目标入组 20 人开始时间: 待定最近更新: 2024年4月23日

适应症

试验速览

暂无简介。

•Medical and surgical adult patients (*18 years) admitted to the ICU or the MICU of the AMC who have been mechanically ventilated *48 hours

•Contra indications for physical therapy treatment according to the Evidence Statement for ICU physical therapy (Sommers. et. al. 2013):
•o Recent myocardial ischemia
•o Hart frequency < 40 or > 130
•* Blood pressure:
•o Map 110 mmHg
•Pulse oxymetry: * 90%
•Mechanical ventilation:
•o FiO2 *0.6 (60%)
•o PEEP* 10cm H2O
•Breathing frequency:
•o Frequency > 40 per minute
•Low consciousness:
•o RASS score: -4, -5, 3 or 4
•Dose of inotropes:
•o Dobutamine > 20 mcg/kg/min
•o Dopamine > 10 mcg/kg/min
•o Nor/adrenaline * 0.1 mcg/kg/min
•Temperature:
•o * 38.5 degrees Celsius
•o *36 degrees
•o Clinical observation by physical therapist: abnormal sweating, pain, fatigue
•o Surgical contra-indications (i.e. instable fractures, bone flap, open abdomen or thorax)
•o Presence of lines that prevent mobilization
•* Imminent to death,
•* Insufficient knowledge of the Dutch language,
•* Neurological diseases and disorders as reason for ICU admission,
•* One or more amputated lower extremities,
•* Mental retardation.

发起方