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ID 113811
Title Alternative
Long-term mobilization by a multidisciplinary team liberated a case of an acute respiratory distress syndrome (ARDS) from prolonged mechanical ventilation
長期間の多職種連携による離床
Author
Takashima, Takuya Tokushima University
Nishikawa, Marie Tokushima University
Okahisa, Tetsuya Tokushima University
Doi, Satoshi Tokushima University
Nomura, Keiko Tokushima University
Fukuoka, Chika Tokushima University
Kawahara, Yoshimi Tokushima University
Yoshida, Naomi Tokushima University
Nakayama, Shizu Tokushima University
Nakataki, Emiko Tokushima Prefectural Central Hospital KAKEN Search Researchers
Keywords
リハビリテーション
ICU退室
ICU-acquired weakness
rehabilitation
multidisciplinary team
mechanical ventilation
acute respiratory distress syndrome
Content Type
Journal Article
Description
Early mobilization is an effective way to improve the physical function of critically ill patients, but there are numerous barriers to mobilization. One such is an early ward transfer. Mobilization is often insufficient in a ward, and the patient cannot be liberated from mechanical ventilation. We experienced a case of a successfully liberated patient from prolonged mechanical ventilation in long-term mobilization as orchestrated by a multidisciplinary team in the ICU. A 45-year-old female was admitted to the ICU and placed on mechanical ventilation for acute respiratory distress syndrome(ARDS). We deployed a mobilization protocol, which was mostly restricted to passive exercise in the first 2 weeks after admission. On day 30, the patient recovered from unstable respiration, but could not be liberated from mechanical ventilation because of muscle weakness, diagnosed as ICU-acquired weakness. The patient was gradually mobilized and transferred to a chair on day 35, and she was able to stand on day 56. On day 65, she was completely liberated from mechanical ventilation and discharged from the ICU 70 days after her initial admission. Long-term mobilization is important for liberation of a patient from prolonged mechanical ventilation as well as early mobilization in the ICU.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
75
Issue
3-4
Start Page
103
End Page
108
Sort Key
103
Published Date
2019-08-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences