Archives of Physical Medicine and Rehabilitation
Volume 91, Issue 4 , Pages 536-542 , April 2010

Early Physical Medicine and Rehabilitation for Patients With Acute Respiratory Failure: A Quality Improvement Project

Presented to the American Academy of Physical Medicine and Rehabilitation, October 25, 2009, Austin, TX.

  • Dale M. Needham, MD, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD
    • OACIS Group, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD
    • Corresponding Author InformationCorrespondence to Dale M. Needham, MD, PhD, 1830 E Monument St, 5th Fl, Baltimore, MD 21205
    • ,
  • Radha Korupolu, MBBS, MS

      Affiliations

    • OACIS Group, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD
    • ,
  • Jennifer M. Zanni, PT, MSPT

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD
    • ,
  • Pranoti Pradhan, MBBS, MPH

      Affiliations

    • OACIS Group, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD
    • ,
  • Elizabeth Colantuoni, PhD

      Affiliations

    • Department of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD
    • Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD
    • ,
  • Jeffrey B. Palmer, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD
    • ,
  • Roy G. Brower, MD

      Affiliations

    • OACIS Group, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD
    • ,
  • Eddy Fan, MD

      Affiliations

    • OACIS Group, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD

  • Image Result

    A 56-year old man during his fourth day in the medical intensive care unit is ambulating, while receiving mechanical ventilation via an oral endotracheal tube, with the assistance of a physical therap

    A 56-year old man during his fourth day in the medical intensive care unit is ambulating, while receiving mechanical ventilation via an oral endotracheal tube, with the assistance of a physical therapist, respiratory therapist, and an ICU nurse. The associated equipment includes a portable ventilator with attached oxygen tanks, a portable cardiac monitor, a wheeled pole with intravenous infusion pumps, and a wheeled walker. A wheelchair (not seen) is being pushed behind the patient by a technician.

 Supported by the Department of Physical Medicine and Rehabilitation and the Division of Pulmonary and Critical Care Medicine, Johns Hopkins University.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(10)00034-1

doi: 10.1016/j.apmr.2010.01.002

Archives of Physical Medicine and Rehabilitation
Volume 91, Issue 4 , Pages 536-542 , April 2010

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