Passive orthostatism (tilt table) in critical patients: Clinicophysiologic evaluation.

Autor: Toccolini BF; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil. Electronic address: beatriztoccolini@hotmail.com., Osaku EF; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil., de Macedo Costa CR; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil., Teixeira SN; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil., Costa NL; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil., Cândia MF; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil., Leite MA; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil., de Albuquerque CE; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil., Jorge AC; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil; Department of Medicine, Western Parana State University Hospital, Cascavel, PR, Brazil., Duarte PA; Intensive Care Unit, Western Parana State University Hospital, Cascavel, PR, Brazil; Department of Medicine, Western Parana State University Hospital, Cascavel, PR, Brazil.
Jazyk: angličtina
Zdroj: Journal of critical care [J Crit Care] 2015 Jun; Vol. 30 (3), pp. 655.e1-6. Date of Electronic Publication: 2015 Jan 06.
DOI: 10.1016/j.jcrc.2014.12.018
Abstrakt: Purpose: To assess the effects of passive orthostatism on various clinicophysiologic parameters of adult intensive care unit (ICU) patients, by daily placement on a tilt table.
Materials and Methods: This prospective cohort study was performed in a general ICU. Twenty-three patients 18 years or older, intubated or tracheostomized, without sedation and under weaning from mechanical ventilation, were analyzed. All variables were evaluated at tilting of 30°, 45°, 60°, 75°, and 90°.
Results: Glasgow Coma Scale increased during tilt in the first and second day, as well as Richmond Agitation-Sedation Scale. No significant differences were detected in the physiological parameters; however, there was a nonsignificant decrease on the mean arterial pressure at angles of 75° and 90°. The maximum inspiratory pressure significantly increased at 60° compared with 30° on day 1 of the intervention. No significant differences were observed for maximum expiratory pressure, rapid shallow breathing index, and the tidal volume.
Conclusion: A protocol with daily use of a tilt table for ICU patients is safe and improves the level of consciousness and inspiratory maximum pressure, without causing deleterious acute physiological effects.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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