CURRENT USE OF PHYSIOTHERAPY PRACTICES IN THE INTENSIVE CARE UNITS OF PUNE CITY

Jenisa Ashit Doshi, razia nagarwala, ashok shyam

Abstract


Background:  An intensive care unit (ICU) is a specialized hospital ward which is dedicated to the management of critically ill patients. Physiotherapists are an important part of the medical team providing rehabilitation  to the patients with life threatening illnesses with recovery and majorly preventing the ICU related complications like muscle weakness, lung collapse, bed sore formation  and functional disability. The outcome of rehabilitation depends on the knowledge and skills of the physiotherapist and hence it is vital to analyze the current physiotherapy techniques put to use in the ICU.

Aim: To study the current use of physiotherapy techniques in the intensive care units of Pune city.

Method: a cross sectional questionnaire survey was conducted among 63 physiotherapists working in the ICU of various multispecialty hospitals across Pune city.

Results: Descriptive statistics were used for analyzing the responses. Overall in this survey, diversities were noticed in the physiotherapy practices among hospitals across pune city, India. It was seen that 100% respondents were always monitoring all the investigation parameters like blood reports, X rays and ABG during the rehabilitation. Conventional physiotherapy techniques were more commonly notices in comparison to devices like acapella which were seen to be used only by 41% of the respondents. Only 44% of the respondents were involved in bed sore management.

Conclusion: All the physiotherapists posted on the intensive care units were observed very commonly using chest expansion techniques, positioning and active mobilization for rehabilitation of patients in the ICU. Conventional chest physiotherapy practices were more commonly used in comparison to adjunct devices. The physiotherapists treat patients on the basis of physician referral more commonly as compared to self assessment and routine treatment. The posting of the physiotherapists on overnight shifts and on public holiday is not seen in most of the hospitals.


Keywords


: intensive care unit, critical, current techniques

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References


Classification of Health Workface Statistics, World Health Organization. Available from: http://www.who.int/hrh/statistics/health_workers_classification.pdf

Stiller K. Physiotherapy in intensive care: Towards an evidence based practice. Chest. 2000;118:1801-13.pubmed.

Herridge MS, Tansey CM, Matteaos N, et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med. 2011; 364..:1293-130.

Stevens RD, Dowdy DW, Michaels RK, Mendez-Tellez PA, Pronovost PJ, Needham DM Neuromuscular dysfunction dysfunction acquired in critical illness: A systematic review. Int Care Med 2007; 33(11): 1876-1891.

Bhat A, Chakravarthy K, Rao BK. Chest physiotherapy techniques in neurological intensive care units of India: A survey. Indian J Crit Care Med. 2014; 18:363-8.

Nicolino Ambrosino, MD, and Dewi N. Makhabah MD. Physiotherapist in the ICU. RT magazine. 2014. Rtmagazine.com.

Gosselink R, Bott J, Johnson M, Dean E, Nava S, Norrenberg M, et al. Physiotherapy for adult patients with critical illness: Recommendations of the European respiratory society of intensive care medicine task force on physiotherapy for critically ill patients. Intensive Care Med. 2008; 34: 1188-99.

Clini E, Ambrosino N. Early physiotherapy practice in intensive care units in Australia, the UK and Hong Kong. Physiotherapy theory Pract. 1992; 8: 39-47.

Ujwal Y, Ankita R, Roshan G. Physiotherapy practices in intensive care units across Maharashtra. Indian J Crit Care Med. 2015 Nov; 19(11): 669-673


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