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Updated: Oct 18, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Unanticipated demand of Physiotherapist-Deployed Airway Clearance during the COVID-19 Surge 2020 a single centre
Claire Black1, Roman Klapaukh2, Alison Gordon1
1Therapies and Rehabilitation, University College London Hospitals NHS Foundation Trust, United Kingdom.
Abstract:
Bronchial secretion management was not an anticipated clinical problem in patients intubated and ventilated with COVID-19. Yet 63 (62%) of our intubated and ventilated patients demonstrated a moderate or greater sputum load, as recorded by physiotherapists on 5 or more days of the patient's ICU stay. The efficacy of airway clearance in these patients was further compounded by ineffective or absent cough and increased secretion tenacity, dramatically increasing the workload of critical care physiotherapists. We provide data to support the modelling of critical care physiotherapy staffing for future COVID-19 surges.
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