Continuous Lateral Rotation Therapy

2010 ◽  
Vol 30 (2) ◽  
pp. S5-S7 ◽  
Author(s):  
Leslie Swadener-Culpepper
Keyword(s):  
Continuous Lateral Rotation ◽  
Lateral Rotation

Effects of continuous lateral rotation therapy on pulmonary complications in liver transplant patients

1995 ◽  
Vol 4 (2) ◽  
pp. 133-139 ◽  
Author(s):  
K Whiteman ◽  
L Nachtmann ◽  
D Kramer ◽  
S Sereika ◽  
M Bierman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Liver Transplant ◽  
Respiratory Tract Infection ◽  
Lower Respiratory Tract Infection ◽  
Lower Respiratory Tract ◽  
Continuous Lateral Rotation ◽  
Lateral Rotation

BACKGROUND: When liver transplant candidates and recipients suffer from pulmonary complications of immobility, the results can be life-threatening. Continuous lateral rotation therapy has been reported to decrease complications of immobility. OBJECTIVES: To determine whether continuous lateral rotation therapy decreases the duration of mechanical ventilation, intensive care unit length of stay, incidence or resolution of atelectasis, incidence or onset time of lower respiratory tract infection and pneumonia. METHODS: Sixty-nine subjects admitted to a liver transplant intensive care unit at a university teaching hospital were randomly assigned to continuous lateral rotation therapy or a stationary bed. All subjects were mechanically ventilated for 24 hours and had a Glasgow Coma Scale score of 11 or less upon admission to the study. Subjects were followed until out of bed, unable to rotate for 3 consecutive days, or transferred from the intensive care unit. Data and chest roentgenogram results were collected on admission and daily during the study. Sputum culture results were obtained if available as part of normal patient care. RESULTS: Incidence of lower respiratory tract infection was significantly lower and length of time to occurrence of lower respiratory tract infection was significantly longer in the continuous lateral rotation therapy group than in the stationary bed group. CONCLUSIONS: Although continuous lateral rotation therapy did not affect duration of mechanical ventilation, length of stay, or incidence of atelectasis, it was effective in decreasing the incidence of, and increasing onset time to, lower respiratory tract infection in the liver transplantation population.

Continuous lateral rotation therapy to prevent ventilator-associated pneumonia: The neglected effects of gravity on pathogenesis of ventilator-associated pneumonia

2010 ◽  
Vol 38 (3) ◽  
pp. 1018-1019 ◽  
Author(s):  
Lorenzo Berra ◽  
Massimo Cressoni ◽  
Gianluigi Li Bassi ◽  
Theodor Kolobow ◽  
Mauro Panigada ◽  
...  
Keyword(s):  
Ventilator Associated Pneumonia ◽  
Continuous Lateral Rotation ◽  
Lateral Rotation

Interface pressure redistribution on skin during continuous lateral rotation therapy: A feasibility study

Heart & Lung ◽  
2016 ◽  
Vol 45 (3) ◽  
pp. 237-243 ◽  
Author(s):  
Robert Anderson ◽  
Charmaine Kleiber ◽  
Joseph Greiner ◽  
Lynn Comried ◽  
Miriam Zimmerman
Keyword(s):  
Feasibility Study ◽  
Interface Pressure ◽  
Continuous Lateral Rotation ◽  
Lateral Rotation

CONTINUOUS LATERAL ROTATION THERAPY FOR ACUTE LUNG INJURY: TIMING MATTERS

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 131S
Author(s):  
Cindy Grimes ◽  
Rhonda Anderson ◽  
Bruce M. Fleegler
Keyword(s):  
Acute Lung Injury ◽  
Lung Injury ◽  
Continuous Lateral Rotation ◽  
Lateral Rotation

Prolonged lateral steep position impairs respiratory mechanics during continuous lateral rotation therapy in respiratory failure

2007 ◽  
Vol 33 (4) ◽  
pp. 625-631 ◽  
Author(s):  
Peter Schellongowski ◽  
Heidrun Losert ◽  
Gottfried J. Locker ◽  
Klaus Laczika ◽  
Michael Frass ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Respiratory Mechanics ◽  
Continuous Lateral Rotation ◽  
Lateral Rotation

Continuous lateral rotation therapy to prevent ventilator-associated pneumonia*

2010 ◽  
Vol 38 (2) ◽  
pp. 486-490 ◽  
Author(s):  
Thomas Staudinger ◽  
Andja Bojic ◽  
Ulrike Holzinger ◽  
Brigitte Meyer ◽  
Marion Rohwer ◽  
...  
Keyword(s):  
Ventilator Associated Pneumonia ◽  
Continuous Lateral Rotation ◽  
Lateral Rotation
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