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Clinical Algorithm Overview

Pulmonary Function

Mobility

Delphi Study Results

Contact Details

 
 
 
 
 
 
 
 
 
 
 
 
 
Welcome


This website was developed as a place to reach international consensus amongst clinicians; academics/researchers; and members of the interdisciplinary team involved in ICU patient management (nurses; intensivists) on a best practice physiotherapy clinical algorithm.

NOTE: The author had access to the clinical guidelines developed by the European respiratory Society of Intensive Care Medicine task force which was recently published (Gosselink et al 2008). These recommendations were incorporated into the algorithm where applicable.

 
     

The way forward

  • These results will be collated into management algorithms using the following key words based on the consensus median rating

    • DO Rating 1
    • SHOULD DO Rating 2
    • CONSIDER Rating 3
    • UNIMPORTANT Rating 4
    • DETRIMENTAL Rating 5

  • The evidence based protocol will be implemented over 4 three week periods in a surgical ICU starting 1 November 2008. Patient outcomes from protocol care will be compared to usual care.

  • The abdominal surgery; rehabilitation and pulmonary dysfunction groups are currently working on publications for submission this year.
 
 

Site content:


Structure of the website

This site was developed to share information but also to collect opinions. There are three formats:

  • Comment Pages where you will be requested to post a comment on the recommendations formulated and the steps contained in the clinical algorithms. The links on these pages link directly to the database. You will be guided in the comments to provide.
  • Printable Pages containing the Best practice recommendations and clinical algorithms in Pdf format. This is to facilitate the reading of information. You will still need to link to the site to post comments on the database.
  • Supporting data pages containing information relevant to the review process.

Navigation of the site can either be completed with buttons on left side of page or directly from the "Clinical Algorithm overview page".

  • There are six clinical management algorithms
  • All the pages are vissible to all panelmembers

The clinical algorithm for the management of patients with changes vissible on CxR is based on four subject areas:

  • Ventilator associated pneumonia
  • Atelectases
  • Excessive secretions
  • Hyperinflation technique
  • Each of these subjects will contain recommendations and supporting data. All this information was collated into a single algorithm
 
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