Great to discuss my work on the metabolic cost of inspiratory muscle training in critical care at ATS 2023. A higher PiMax = less pronounced increase in VO2 as IMT load increases. Not possible without Royal Brompton & Harefield Hospitals Charity claire purkiss THE Dr Patel

#Mobilization was associated with a lower hazard for postoperative complications and shorter hospitalization ⁦⁦JAMA Network⁩ jamanetwork.com/journals/jamas…

Among unvaccinated individuals infected with covid, approximately 17% did not return to their normal health status by 24 months and 18% reported covid-19 related symptoms, finds new study bmj.com/content/381/bm… UZH_EBPI

How does #pulmonary #rehabilitation work? We tried to explain and provide an overview of effects and adaptations for #respiratory patients. bit.ly/3M0kPu2 Heleen Demeyer Wim Janssens & R. Rabinovich. KU Leuven PhysioTher

Electronic inspiratory muscle training with patients requiring prolonged mechanical ventilation is safe, feasible and acceptable to patients. (Open Access link below). Aust Critical Care Dr Bernie Bissett (she/her) sciencedirect.com/science/articl…

Wonder what winter term unit this big fella is taking at University of Canberra ? #CBR really is the bush capital!

We are thrilled that this article showing the significant impact of #POTS on health-related quality of life has just been published by Clinical Autonomic Research Australian POTS Foundation Dennis H Lau Celine Gallagher link.springer.com/article/10.100…

Pleased to share our report on implementing physio-led LUS in the ICU Dr George Ntoumenopoulos #IStandWithUkraine 🇺🇦 #POCUS #ICU #physio #respisbest pubmed.ncbi.nlm.nih.gov/37356914/

Just a reminder #pharmacists please fill in my survey if you haven't already!

Effects of inspiratory muscle training on exertional breathlessness in patients with unilateral diaphragm dysfunction: a randomised trial openres.ersjournals.com/content/early/…

Fascinating work #IMT #ICU pubmed.ncbi.nlm.nih.gov/37415048/ "IMT causes a significant load-dependent increase in VO2. P/F ratio and NIF impact baseline VO2. The dose-response relationship of the applied respiratory load during IMT is modulated by respiratory strength."

Very happy to share the results of our study: The metabolic cost of inspiratory muscle training in mechanically ventilated patients in critical care. A higher PImax = less pronounced increase in VO2 as IMT load increases. doi.org/10.1186/s40635…

Efficacy of cognitive behavioral therapy targeting severe fatigue following COVID-19: results of a randomized controlled trial bit.ly/3NtYohb #icurehab #A2Fbundle

Respiratory muscle weakness is typical in neuromuscular disease. Respiratory muscles can be trained. Training data comes largely from small, heterogenous trials. Despite these limitations, meta-analysis demonstrates an overall benefit from training. bit.ly/3S4N4Hu

Excited and proud to share our newly published MENTAL trial in the Lancets eClinicalMedicine – The Lancet Discovery Science. Evening mobilisation was safe, feasible, and showed promise in the prevention and treatment of ICU acquired delirium. sciencedirect.com/science/articl…

Why don't patients mobilise more in hospital, and how can we help? Patients KNOW mobility is important but meet so many physical and cultural barriers--learn more in our new paper interviewing 200 patients academic.oup.com/ageing/article…

You can lie in #ICU bed with VR goggles glued to your face or do yoga tree poses in the hall at the window on a ventilator #ICURehab ⁦WesElyMD⁩ ⁦Dale Needham, MD, PhD⁩ ⁦Paul Wischmeyer MD⁩ ⁦Walking Home From The ICU⁩

Hot off the press! Aust Critical Care is planning its next special issue on Rehabilitation and Recovery from Critical Illness

Paul Wischmeyer MD The Lancet WesElyMD Hopkins ICU Rehab Heidi Engel, PT, DPT Kate Tantam (She/her) Walking Home From The ICU Segun Olusanya (He/Him) [email protected] Tamas Szakmany MBE ResearchGate Sapna Kudchadkar, MD, PhD Kevin K. Chung, MD Worthwhile to dispel some myths about the TEAMS trial. 1st, the “usual care” arm had an exceptional level of ICU mobility: >70% of pts evaluated by PT on day 1, 20% ambulated within 1 week. 2nd, the adverse effects were mostly tachycardia. There were 0 falls, extubations, etc.

Chris Yates Paul Wischmeyer MD Early physiotherapy ICU Heidi Engel, PT, DPT WesElyMD Kate Tantam (She/her) Hopkins ICU Rehab Ann-Marie Brown PhD-ACPNP 🟧 Nick Mark MD Segun Olusanya (He/Him) [email protected] Lakshman Swamy ([email protected]) Tamas Szakmany MBE Kevin K. Chung, MD This patient could have maximum ventilator settings and still not have an indication for sedation and immobility. Mechanical ventilation does not automatically mean sedated and immobilized. Awake and walking does not mean there is no indication for ventilator support.