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A survey examining the use of mechanical insufflation-exsufflation on adult intensive care units across the UK

Cramp, Fiona; Swingwood, Ema; Tume, Lyvonne

A survey examining the use of mechanical insufflation-exsufflation on adult intensive care units across the UK Thumbnail


Authors

Fiona Cramp Fiona.Cramp@uwe.ac.uk
Professor in Long Term Conditions

Ema Swingwood

Lyvonne Tume Lyvonne.Tume@uwe.ac.uk
Associate Professor in Child Health



Abstract

Introduction: Despite potential benefits, it is not known how widely physiotherapists use mechanical insufflation-exsufflation devices on UK adult intensive care units. This survey aimed to describe mechanical insufflation-exsufflation use in UK adult intensive care units. Methods: Cross-sectional electronic survey of physiotherapists working in a permanent post on adult intensive care units. Results: One hundred and sixty-six complete surveys were available for analysis, reflecting a diverse geographical spread. Nearly all (98%; 163/166) clinicians had access to mechanical insufflation-exsufflation. The estimated frequency of use varied, with the majority reporting weekly or monthly use (52/163, 32%; 50/163, 31%, respectively). Nearly all clinicians (99%) used mechanical insufflation-exsufflation with extubated patients. In contrast, around half of respondents (86/163, 53%) used mechanical insufflation-exsufflation with intubated patients, with a range of perceived barriers reported. Conclusions: Mechanical insufflation-exsufflation devices are widely available on UK adult intensive care units, with use more common in extubated patients. Barriers to mechanical insufflation-exsufflation use in the intubated population warrant further investigation

Citation

Cramp, F., Swingwood, E., & Tume, L. (2020). A survey examining the use of mechanical insufflation-exsufflation on adult intensive care units across the UK. Journal of the Intensive Care Society, 21(4), 283-289. https://doi.org/10.1177/1751143719870121

Journal Article Type Article
Acceptance Date Jul 9, 2019
Online Publication Date Sep 5, 2019
Publication Date Nov 1, 2020
Deposit Date Aug 23, 2019
Publicly Available Date Aug 29, 2019
Journal Journal of the Intensive Care Society
Print ISSN 1751-1437
Publisher SAGE Publications (UK and US)
Peer Reviewed Peer Reviewed
Volume 21
Issue 4
Pages 283-289
DOI https://doi.org/10.1177/1751143719870121
Keywords Cough assist, cough augmentation, mechanical ventilation, physiotherapy, weaning
Public URL https://uwe-repository.worktribe.com/output/2421238

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A Survey Examining The Use Of Mechanical Insufflation-exsufflation On Adult Intensive Care Units Across The UK AAM (136 Kb)
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