Journal of Rehabilitation Research & Development (JRRD)

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Trendelenburg chest optimization prolongs spontaneous breathing trials in ventilator-dependent patients with low cervical spinal cord injury

Charles J. Gutierrez, PhD, RRT, FAARC, et al.


Figure 7. Rapid shallow breathing index (RSBI) during spontaneous breathing trial (SBT). Trendelenburg increased SBT 33%, in RSBI.

Neurorespiratory care is relatively new to the national neurorehabilitative effort for our veterans. Neurologically compromised patients with ventilatory insufficiency are often referred to the Bilirakis Spinal Cord Injury Center, James A. Haley Veterans Hospital, Tampa, Florida. Few high-level studies address how best to rehabilitate and wean ventilator-dependent patients with neurological injuries. Hence, intense neurorespiratory research is needed for developing safe, efficient, and effective evidence-based guidelines for rehabilitating and weaning our veterans. The current pilot study presents data about the importance of Trendelenburg body positioning in improving lung function so that patients may gradually decrease their need for artificial ventilation.

Volume 47 Number 3, 2010
   Pages 261 — 272


View HTML  ¦  View PDF  ¦  Contents Vol. 47, No. 3

Last Reviewed or Updated  Friday, April 30, 2010 9:44 AM