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TO CREAT A TOPIC USING PICOT CLINICAL QUESTION: Among ICU intubated patients, is continuous lateral rotation therapy, as comp
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PICOT STUDY PROFESSOR NAME A. Introduction Pulmonary complications are quite common in critically ill patients, and this is especially so in patients with intubation and who are mechanically ventilated. Among the common complications are atelectasis, hypoxia and nosocomial infections.
In spite of its continued use, no evidence exists as to its effectiveness in improving pulmonary complications (Vollman, 2010). Continuous lateral rotation therapy has been in use as part of progressive mobility and has been employed in an effort to reduce pulmonary complications resulting from immobility. This therapy was delivered through a continuous motion-bed frames that helped rotate the patient from one side to another. Studies have demonstrated the effectiveness of the therapy in improving pulmonary outcomes in critically ill patients (Sahn, 1991). The mobilization of patients is a broadly accepted practice helping reduce the effect of prolonged bed rest. In spite of this, it is usually difficult to mobilize patients during early acute phases of their illness. CLRT can be used to make up for this deficiency by providing early mobility efficiently to those patients whose critical condition or instability makes it hard to use other forms of mobility. There are several criteria which have been proposed in identifying pulmonary patients who could potentially benefit from CLRT. Methods that can be evaluated quickly and simply are preferred owing to ease in their implementation especially in busy critical-care environments. An example of such a method includes calculation of PaO2/ FIO2 ratio. This ratio shows the effectiveness of transfer of oxygen from the lungs to the hemoglobin in the blood. ...
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