2010 May - Early Rehabilitation in Intensive Care Unit

Mr. David TW Yu, Senior Physiotherapist, Queen Elizabeth Hospital, HKTS and ACCP (HK & Macau Chapter Newsletter, May 2010

Figure. Neuromuscular electrical stimulation
Introduction
Advances in the management of mechanically ventilated patients have improved outcomes and survival rates for critically ill patients1. As patients survive the acute illness with improved mortality, the long-term complications can significantly hamper the independence of the patients with prominent morbidity2. These complications can delay weaning due to respiratory muscle weakness, prolonged mechanical ventilation, and delay rehabilitation progress owing to limb weakness3,4. A longer period of dependency on support and rehabilitation services results in an increase in length of hospital stay, both of which can have significant cost implications5.

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2009 Laryngeal Mask Airway

Recommended by Dr LAU Chun Wing Arthur on 6 May 2009; ICU, PYNEH

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2009 Retrograde Intubation

Recommended by Dr LAU Chun Wing Arthur on 11 May 2009; ICU, PYNEH

Click Read more to watch more video on this technique. 

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2009 Cricothyroidotomy

Recommended by Dr LAU Chun Wing Arthur on 6 May 2009; ICU, PYNEH

Click Read more to see some other methods, both emergency and surgical.

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2009 Difficult Airway Video

florida u

Useful intubation techniques and tutorials are available from the University of Florida website, including introduction to the AIRTRAQ Optical Laryngoscope.