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Critical Care: Critical Care - ICU Management |

Noninvasive Ventilation for Early Mobilization of Acutely Hypoxic Patients

James Halbert, DPT; Patty McGraw, MSN; Carol Gray, APN; Gerald O'Brien, MD; Vinay Maheshwari, MD; Rick Caplan, PhD; Claudine Jurkovitz, MD
Author and Funding Information

Christiana Care Health System, Newark, DE


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):215A. doi:10.1016/j.chest.2016.08.228
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SESSION TITLE: Critical Care - ICU Management

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Over the past decade there has been increased attention to the early mobilization of hospitalized patients, including patients with acute respiratory distress or illness. However, there is little evidence to suggest the benefit or feasibility of physical therapy managed mobility with patients who require noninvasive ventilation (NIV). There are a few reported studies which have shown the effectiveness of NIV in exercise training during pulmonary rehabilitation, and the use of bi-level positive airway pressure (BiPAP) on patients who have chronic obstructive pulmonary disease (COPD). At Christiana Care Health System the standard of care since 2012 has been for the physical therapy therapists to mobilize patients with high oxygen requirements using NIV. The purpose of this study is to examine the benefits of early mobilization using noninvasive ventilation.

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