trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Clinical effects of specialist and on-call respiratory physiotherapy treatments in mechanically ventilated children: A randomised crossover trial / Harriet Shannon in Physiotherapy, 2015/4 (2015)  

[article]  inPhysiotherapy > 2015/4 (2015) . - pp. 349-356 Titre : Clinical effects of specialist and on-call respiratory physiotherapy treatments in mechanically ventilated children: A randomised crossover trial Type de document : Article Auteurs : Harriet Shannon ; Janet Stocks ; Rachael K. Gregson Année de publication : 2015 Article en page(s) : pp. 349-356 Langues : Anglais (eng) Descripteurs : HE Vinci Kinésithérapie (spécialité) ; Unités de soins intensifs pédiatriques Mots-clés : Severe Acute Respiratory Syndrome  Syndrome respiratoire aigu sévère  Intensive Care Units  Pediatric  Physical Therapy Specialty Résumé : Objectives The study investigated treatment outcomes when respiratory physiotherapy was delivered by non-respiratory on-call physiotherapists, compared with specialist respiratory physiotherapists. Design Prospective, randomised crossover trial. Setting Paediatric, tertiary care hospital in the United Kingdom. Participants Mechanically ventilated children requiring two physiotherapy interventions during a single day were eligible. Twenty two physiotherapists (10 non-respiratory) and 93 patients were recruited. Interventions Patients received one treatment from a non-respiratory physiotherapist and another from a respiratory physiotherapist, in a randomised order. Treatments were individualised to the patients’ needs, often including re-positioning followed by manual lung inflations, chest wall vibrations and endotracheal suction. Main outcome measures The primary outcome was respiratory compliance. Secondary outcomes included adverse physiological events and clinically important respiratory changes (according to an a priori definition). Results Treatments delivered to 63 patients were analysed. There were significant improvements to respiratory compliance (mean increase [95% confidence intervals], 0.07 and 0.08 ml · cmH2O−1 · kg−1 [0.01 to 0.14 and 0.04 to 0.13], p Conclusions Significant disparities exist in treatment outcomes when patients are treated by non-respiratory on-call physiotherapists, compared with specialist respiratory physiotherapists. There is an urgent need for targeted training strategies, or alternative service delivery models, to be explored. This should aim to address the quality of respiratory physiotherapy services, both during and outside of normal working hours. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134248 [article]

Differences in delivery of respiratory treatments by on-call physiotherapists in mechanically ventilated children: a randomised crossover trial / Harriet Shannon in Physiotherapy, 2015/4 (2015)  

[article]  inPhysiotherapy > 2015/4 (2015) . - pp. 357-363 Titre : Differences in delivery of respiratory treatments by on-call physiotherapists in mechanically ventilated children: a randomised crossover trial Type de document : Article Auteurs : Harriet Shannon ; Janet Stocks ; Rachael K. Gregson Année de publication : 2015 Article en page(s) : pp. 357-363 Langues : Anglais (eng) Descripteurs : HE Vinci Kinésithérapie (spécialité) ; Unités de soins intensifs pédiatriques Mots-clés : Severe Acute Respiratory Syndrome  Syndrome respiratoire aigu sévère  Intensive Care Units  Pediatric  Physical Therapy Specialty Résumé : Objectives To investigate differences, if any, in the delivery of respiratory treatments to mechanically ventilated children between non-respiratory on-call physiotherapists and specialist respiratory physiotherapists. Setting Paediatric, tertiary care hospital in the United Kingdom. Participants 93 children (aged between 3 days and 16 years), and 22 physiotherapists (10 specialist respiratory physiotherapists) were recruited to the study. Interventions Recruited children received two physiotherapy treatments during a single day, one delivered by a non-respiratory physiotherapist, the other by a specialist respiratory physiotherapist in a randomised order. Selection, delivery and effects of techniques were recorded for each treatment. Outcome measures Primary outcomes were selection and application of treatment components. Secondary outcomes included respiratory effects (in terms of changes in flow, volume and pressure) of selected treatment components. Results Both non-respiratory on-call physiotherapists and specialist respiratory physiotherapists used combinations of saline instillation, manual lung inflations, chest wall vibrations and endotracheal suction during treatments. However specialist respiratory physiotherapists used combinations of chest wall vibrations with suction, and recruitment manoeuvres, significantly more frequently than non-respiratory on-call physiotherapists (92% vs 52%, and 87% vs 46% of treatments respectively, P Conclusion Clinically important differences between non-respiratory and specialist respiratory physiotherapists’ treatment outcomes may be related to differences in the selection and application of techniques. This suggests an important training need for non-respiratory on-call physiotherapists, particularly in the effective delivery of physiotherapy techniques. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134249 [article]