Sara Combilizer it is a
new multifunctional rehabilitation aid to early mobilization of the patients in
intensive care unit.
Effect on muscular system-
Disuse atrophy begins within 4 hours of bed rest.
Decrease muscle mass it may reduce strength, endurance and power of the muscles.
Cardiovascular system-
Cardiovascular deconditioning, loss of fluid volume
and pressure regulating mechanism risk for developing deep vein thrombosis.
Effect on respiratory system-
Decrease the lung capacity, lung volume, lung
compliance, FRC (functional residual capacity), and produce aerobic
deconditioning.
Effect on skeletal system-
Immobile patient are at risk for demineralization of bone,
osteoporosis.
Effect on renal system-
Prolong bed rest produce renal insufficiency.
Effect on CNS-
Diminish
reflex activity of sympathetic system.
Effect on metabolic activity-
Reduce insulin sensitivity.
Effect on Immune system-
Reduce cytokine function.
Psychological effects-
Patients may become depressed and may
develop psychoneurosis.
Other effects-
Reduce
functional mobility, due to limited
positioning-poor postural alignment, stiffness and soreness.
Prolong recovery and increase hospital stay-
It enhance the functional capacity of the body and
improves biomechanics of the various systems, reduce the adverse effects of immobility and to helps the early
initiation of rehabilitation program for immobile patients in intensive care
unit
- It provides early recovery
- Decrease prolong hospital stays
- promote early initiation of rehabilitation program
- promote early discharge
- Prevent secondary complications of prolong bed rest
Early patient
mobilization can initiate as soon as in the Intensive Care Units (ICU) using a
standing or sitting position is increasingly recognized as a positive means to
achieving a range of benefits, such as:
Pulmonary system-
Improve mucociliary transport,
airway clearance, improve ventilation perfusion ratio,
maintain respiratory rate and tidal volume and also improve respiratory
mechanics.
Cardiovascular system-
Increase venous return
and cardiac output, increase transport of gases, increase contractility of the cardiac
muscles.
Lymphatic system-increase
pulmonary lymphatic flow and lymphatic drainage.
CNS-
Increase arousal
mechanism (levels of consciousness)
and reflex activity, Increase
proprioceptive or kinesthetic input.
Renal system-
Increase filtration of
urine and urine output.
GIT
–improve gut mobility.
Integumentary system-increase
cutaneous circulation of skin it may reduce risk of pressure ulcers.
Musculoskeletal system-reduce muscular atrophy and demineralization of bone.
Effect on multisystem-decrease effect of anesthesia and sedation, decrease deleterious
cardiopulmonary effects of surgery, reduce stiffness and improve posture and
promote the specific level of functional mobility and early recovary and also provides
beneficial effect on body and promote health and well-being to the critical ill patients.
Functional activity-Increased
functional independence.
•
A critical care
positioning and early aid Sara Combilizer is a multifunctional patient
positioning and mobilization aid for use in critical care environments, such as
Intensive Care Units (ICUs).
•
Sara Combilizer
helps enable the early mobilization of critically ill patients and improve functional
mobility and promote to start early rehabilitation in intensive care units.
•
When we can use Sara
Combilizer easily prescribe the theraputic positoning to patient in
various position standing, supine or sitting side lying position. It is a multipurpose aid produce combine functional effect of
tilt table, stretcher, wheel chair and air bed also.
- Evidence support
the early mobilization benefits of Sara Combilizer in various position in
intensive care unit.
- Utilization of this tool for early mobility it reduced ICU and hospital length of stay and improved functional outcomes.
- It will use in earlier mobilization of mechanically ventilated patients previously considered high risk or inappropriate to mobilize, as well as patient with low attention and level of consciousness, poor trunk stability and hemofiltration lines in the groin.
- The Sara Combilizer as an early mobilization aid for critically ill
patients: A prospective before and after study by David McWilliams -A new aid for managing mechanically ventilated patients includes reducing deep sedation significant
reduction of the time to mobilize and increasing rehabilitation therapy and
mobilization soon after admission to the ICU.
- The Research
provides evidence and supporting the safety, feasibility and potential benefits of early
mobilization in critical care unit.
- Use of mechanical ventilator
for critical ill patients initially in Intensive care unit it is very costly.
- Use of Sara
combilizer for Early mobilization can help to reduce the length of an ICU stay
and the duration of mechanical ventilation reduce the cost and increase financial benefits for the patients.
- The multi
directional, mobility in multi axis and plan helps to prescribe therapeutic positioning, bed side mobility, efficient
to prevent pressure ulcer, enhance respiratory and cardiac function and also
promoting a focus on rehabilitation excises.
- It is an efficient tool to provide various positioning in intensive care unit and optimized recovery process for a critically ill patient.
- It permits unconscious, sedated or mechanically ventilated patients to be mobilized in different standing or sitting positions for several hours per day.
- It is a safe and
secure platform to the patients to standing for the required amount of time to
fully maximize early mobilization benefits.
1. David McWilliams et al; Australian
Critical Care; Australian
Critical Care 30 (2017) 189–195.
2. Text book of cardiopulmonary physical therapy 5th edition by Donna Frowenfelter Elizabeth Dean.
2. Text book of cardiopulmonary physical therapy 5th edition by Donna Frowenfelter Elizabeth Dean.
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