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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

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

Journal Article Type Article
Journal Journal of the Intensive Care Society
Print ISSN 1751-1437
Publisher SAGE Publications (UK and US)
Peer Reviewed Peer Reviewed
APA6 Citation Cramp, F., Swingwood, E., & Tume, L. (in press). A survey examining the use of mechanical insufflation-exsufflation on adult intensive care units across the UK. Journal of the Intensive Care Society, https://doi.org/10.1177/1751143719870121
DOI https://doi.org/10.1177/1751143719870121
Keywords Cough assist, cough augmentation, mechanical ventilation, physiotherapy, weaning

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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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Copyright(c)2019 Reprinted by permission of SAGE publications.


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