集中治療室の患者の動員:神経筋肉の弱さや身体機能の改善
1Division of Pulmonary and Critical Care Medicine, and Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, Maryland 21205, USA. dale.needham@jhmi.edu
JAMA
|October 9, 2008
まとめ
集中治療室 (ICU) の早期動員は有望なアプローチです. 深い鎮静を減らし,早期のリハビリテーションを増やすことは,重症患者のアウトカムを改善し,退院後の身体機能を向上させることができます.
科学分野:
- クリティカルケア医療は,重症治療薬です.
- フィジカルセラピーは,理学療法です.
- 神経筋肉のリハビリテーション
背景:
- 歴史的に見て,早期の患者動員は一般的であったが,深層静止とベッドレストは,機械呼吸器患者のためのルーチンとなった.
- 重症患者はしばしば,長期的な身体機能と生活の質に影響を与える神経筋肉の合併症を長期間経験します.
- 長期間のベッドレストは,集中治療室 (ICU) の生存者における神経筋肉の弱さの発達に寄与する可能性があります.
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