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ID 113811
タイトル別表記
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
著者
髙島, 拓也 徳島大学
西川, 真理恵 徳島大学
岡久, 哲也 徳島大学
土肥, 智史 徳島大学
野村, 慶子 徳島大学
福岡, 千佳 徳島大学
河原, 良美 徳島大学
吉田, 奈緒美 徳島大学
中山, 志津 徳島大学
キーワード
リハビリテーション
ICU退室
ICU-acquired weakness
rehabilitation
multidisciplinary team
mechanical ventilation
acute respiratory distress syndrome
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
75
3-4
開始ページ
103
終了ページ
108
並び順
103
発行日
2019-08-25
EDB ID
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院
医学系