Critical Care Physiotherapy II Physiotherapy in intensive care unit II Physiotherapy in stroke

#critical #criticalcare #criticalcaremedicine #icu #cardiology #physiotherapy #physio #physiotherapist #physiotherapyexercises #intensivecare #intensivecareunit ‪@SunitPhysioTherapist‬ ‪@zeeshan_physiovedic‬ ‪@DrSaifulPhysiotherapist‬

Physiotherapy in stroke patients at home : 03:08 07:05

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PHYSIOTHERPY is an integral part of care in a critical care unit, where in by different techniques , secretions in lungs and respiratory tract are mobilised or made loose.
It's very useful in patients on prolonged bed rest or in patients on mechanical ventilation.

Chest physiotherapy should never be done straight after a meal or drink..

Goals of Physiotherapy:
Airway secretion clearance
Recruitment of lung volume or improvement of atelectasis
Maintenance/improvement of oxygenation
Maintenance/improvement inspiratory muscle strength.

Respiratory Physiotherapy Techniques:
Positioning,
Manual and ventilator hyperinflation,
Percussion, vibration, suctioning,
Respiratory muscle strengthening,
Breathing exercises and mobilisation.

Contraindications :
Increased ICP
Unstable head or neck injury
Active hemorrhage or hemoptysis
Recent spinal injury
Rib fracture
Flail chest
Uncontrolled hypertension
Anticoagulation
Thoracic surgeries.
Bronchopleural fistula

Precautions:
Keep suction apparatus & emergency airway & oxygen therapy while providing chest physiotherapy.
The patient should be monitored throughout therapy.
Adrenergic bronchodilators in solution should be available in case of bronchospasm during therapies.
Provide coughing instruction prior to therapy.
Suctioning of trachea is essential

Disclaimer: This video is only for educational purposes. The procedure should be attempted only by trained medical professionals under expert supervision. Patient's/Relative's consent was obtained prior to filming this video.

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