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Demarest, 1989
Gentilello, 1988
Fink, 1990
de Biosblanc, 1993
Whiteman, 1995
Traver, 1995
Summer, 1989

 

 

The Use of Kinetic Beds in the Prevention ventilator-associated pneumonia.

 

 

Dr David Swann on behalf of the SICS EBM Group.

 

Consultant, Intensive Care Unit, Royal Infirmary of Edinburgh

 

Correspondence to: d.g.swann@ed.ac.uk

 

SICS EBM web site December 2004

 

Citation: EBM Reviews. Scottish Intensive Care Society EBM Group. Swann D. The Use of Kinetic Beds in the Prevention ventilator-associated pneumonia. 2004.

 

Summary: We have reviewed several small RCTs on the effect of kinetic bed therapy on the incidence of ventilator-associated pneumonia. All papers had methodological problems that prevent any meaningful pooled analysis.  We cannot recommend this intervention as a means of preventing VAP. The individual CATs are linked.

 

References (with links to CATs):

 

  1. Demarest GB, et al. Use of the kinetic treatment table to prevent the pulmonary complications of multiple trauma. West. J Med. 1989 Jan;150(1):35-8. CAT.

  2. Gentilello L, et al. Effect of a rotating bed on the incidence of pulmonary complications in critically ill patients. Crit Care Med 1988;16:783-786. CAT.

  3. Fink MP, et al. The efficacy of an oscillating bed in the prevention of lower respiratory tract infection in critically ill victims of blunt trauma: a prospective study. Chest 1990; 97:132-137. CAT,

  4. De Boisblanc B, et al.Effect of air-supported, continuous postural oscillation on the risk of early ICU pneumonia in non-traumatic critical illness. Chest 1993; 103:1543–1547, CAT.

  5. Whiteman K , et al. Effects of continuous lateral rotation therapy on pulmonary complications in liver transplant patients. Am J Crit Care. 1995 Mar; 4(2):133-9. CAT.

  6. Traver G, et al. Continuous oscillation: outcome in critically ill patients. J Crit Care, 1995; 10: 97-103. CAT.

  7. Summer WR, et al. Continuous mechanical turning of ICU patients shortens length of stay in some diagnostic-related groups. J Crit Care, 1989; 4: 45-53. CAT.

 

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