Early and Intensive Occupational Therapy in Mechanical Ventilated Patients
Critical Illness, Ventilator Lung, Impairment, Cognitive
About this trial
This is an interventional treatment trial for Critical Illness
Eligibility Criteria
Inclusion Criteria:
- Age equal to or greater than 18 years.
- Need for hospitalization in ICU.
- At least 12 h of invasive mechanical ventilation
- Informed consent signed by legal representative and / or patient.
Exclusion Criteria:
- Known cognitive impairment before admission with short IQCODE (Informant Questionnaire on Cognitive Decline in the Elderly) Scores> 3.3 were excluded.
- Previous functional impairment, FAQ (Functional Activities Questionnaire) defined as > 6 points.
- Severe communication disorder and cultural limitation of language (language different from Spanish)
- Patient with limited therapeutic proportionality.
- Neurocritical patients (moderate-severe Traumatic Brain Injury / stroke of some kind / among others)
- Spinal injury or unstable fractures that limit mobilization
Sites / Locations
- University of ChileRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Experimental Group - Early and intensive Occupational Therapy
Control group - Standard Analgesia,Sedation, Delirium and Mobilization (ASDM) Protocol
These sessions will be implemented by occupational therapists trained in ICU, who will conduct 20 sessions of 30 min, distributed depending on the level of sedation, i) SAS (Sedation-Agitation Scale) 1 patients have one session each 48 h, evaluating the change of sedation level each 24 h; ii) SAS 2 patients have one session each 24 h, iii) SAS 3-5 have two sessions every day. The sessions will begin once the patient needs mechanical ventilation for at least 12 h
The ASDM protocol will be implemented to mechanically ventilated patients in the ICU, following the aspects recommended by experts and the current evidence. For this, the team of medical, nurses, and physiotherapist will be trained to understand and facilitate the ASDM actions that each one must implement.