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Consequences of bed rest

Brower, Roy G

Critical care medicine, 2009-10, Vol.37 (10 Suppl, ICU-Acquired Weakness: Proceedings of a Round Table Conference in Brussels, Belgium, March 2009), p.S422-S428 [Periódico revisado por pares]

Hagerstown, MD: by the Society of Critical Care Medicine and Lippincott Williams & Wilkins

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Título:
Consequences of bed rest
Autor: Brower, Roy G
Assuntos: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Arthritis, Rheumatoid - rehabilitation ; Bed Rest - adverse effects ; Bed Rest - methods ; Biological and medical sciences ; Contracture - etiology ; Contracture - prevention & control ; Critical Illness - rehabilitation ; Human protozoal diseases ; Humans ; Infectious diseases ; Insulin Resistance ; Intensive care medicine ; Low Back Pain - rehabilitation ; Malaria ; Medical sciences ; Muscle Weakness - rehabilitation ; Muscular Atrophy - etiology ; Muscular Atrophy - prevention & control ; Muscular Disorders, Atrophic - rehabilitation ; Musculoskeletal Diseases - rehabilitation ; Myocardial Infarction - rehabilitation ; Parasitic diseases ; Physical Therapy Modalities ; Protozoal diseases ; Pulmonary Atelectasis - rehabilitation ; Randomized Controlled Trials as Topic ; Recovery of Function ; Thromboembolism - etiology ; Thromboembolism - prevention & control ; Tuberculosis, Pulmonary - rehabilitation
É parte de: Critical care medicine, 2009-10, Vol.37 (10 Suppl, ICU-Acquired Weakness: Proceedings of a Round Table Conference in Brussels, Belgium, March 2009), p.S422-S428
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
Descrição: Bed rest is frequently prescribed for critically ill patients because it is assumed to be beneficial for preventing complications, for conserving scarce metabolic resources, and for providing patient comfort. Furthermore, higher levels of physical activity in critically ill patients have been assumed to be impractical or not feasible. Bed rest has been prescribed in the past for several other clinical conditions including acute flares of rheumatoid arthritis, cavitary tuberculosis, acute myocardial infarction, and acute low back pain. However, randomized, controlled, clinical trials failed to demonstrate beneficial effects of bed rest in most of these conditions. Bed rest can cause several complications that may delay or prevent recovery from critical illnesses including disuse muscle atrophy, joint contractures, thromboembolic disease, and insulin resistance. Recent studies demonstrated the feasibility and safety of physical medicine programs in critically ill patients including those with acute respiratory failure requiring mechanical ventilation. Other physical medicine tools, such as neuromuscular electrical stimulation and passive stretching of muscles, may also reduce some complications of bed rest.
Editor: Hagerstown, MD: by the Society of Critical Care Medicine and Lippincott Williams & Wilkins
Idioma: Inglês

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Consequences of bed rest

Brower, Roy G

Hagerstown, MD: by the Society of Critical Care Medicine and Lippincott Williams & Wilkins

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