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Knowledge, attitudes, and practice about protective ventilation among physical therapists.

Iara Sayuri Shimizu1,2, Sângia Feucht Freire1, Mayson Laercio de Araujo Sousa3

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Physical therapists in Brazil demonstrate good knowledge, attitudes, and practice regarding protective ventilation. Lack of education was a key barrier, highlighting the need for targeted training to improve patient outcomes.

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Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Physical Therapy

Background:

  • Protective ventilation strategies are crucial in managing critically ill patients.
  • Understanding physical therapists' knowledge, attitudes, and practice (KAP) is essential for optimizing ventilation protocols.

Purpose of the Study:

  • To assess KAP towards protective ventilation among physical therapists nationwide.
  • To identify factors influencing KAP regarding protective ventilation.

Main Methods:

  • An online survey with 408 physical therapists across Brazil.
  • A validated questionnaire assessed individual/institutional data, KAP, and barriers.
  • KAP scores were standardized from 0 to 100.

Main Results:

  • Median knowledge score was 80/100; 95% were familiar with settings, but 34% noted airway pressures weren't always discussed.
  • Overall KAP score median was 71/100.
  • Factors associated with higher KAP included ICU experience, conference attendance, and ICU beds per therapist. Lack of education was a significant barrier.

Conclusions:

  • Physical therapists exhibit good KAP regarding protective ventilation, with education gaps identified as a key barrier.
  • Enhanced training and discussion of airway pressures during rounds can improve protective ventilation practices.
  • Optimizing protective ventilation can positively impact patient outcomes.