Cyclo-Ergometry in the Patient With Acute Respiratory Distress Syndrome

Launched by BIOGIPUZKOA HEALTH RESEARCH INSTITUTE · Jan 25, 2024

Keywords

ClinConnect Summary

In March 2020 the World Health Organization declares the Coronavirus disease pandemic 2019. Intensive Care Units deal entirely with patients with pneumonia complicated by Acute Respiratory Distress Syndrome, requiring aggressive respiratory treatments with long periods of connection to mechanical ventilation, sedation and immobilization, contributing to the onset of acquired critical patient muscle weakness (IAPD).

IUCD is a frequent complication in intensive care units, with an incidence of 11-67%¹. Of multifactorial cause, immobilization or "bed-rest", the use of corticosteroids and neur...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patient 18 years of age or older
• • Alert and cooperative (RASS agitation-sedation between -1 and +1).
• • Able to give informed consent (or authorize a family member) to be randomly assigned to receive the cyclo-ergometry program or conventional physiotherapy treatment.
• • With or without connection to mechanical ventilation (via orotracheal tube or tracheostomy).
• • Clinically stable (cardio-vascular, respiratory, neurological).
• • With an inspired oxygen fraction less than or equal to 0.6 and requiring minimal ventilatory support (positive end-expiratory pressure less than or equal to 10 cm H2O).
• Exclusion Criteria:
• • - Patients with pre-existing neuromuscular disease, spinal cord injury, cardiorespiratory arrest, stroke, patients with contraindications for mobility, pregnant women, advanced dementia or patients with life expectancy of less than 6 months or any situation that contraindicates the performance of cycloergometry.