Methods for the development of an evidence based expert driven practical statement for physiotherapy in the intensive care unit we adhered to the recommendations of the dutch evidence based guideline development platform ebro method 1718 this method systematically follows several steps towards the development of an evidence based guideline or statement. Physiotherapy is an integral part of the management of patients in respiratory intensive care units ricus the most important aim in this area is to enhance the overall patients functional capacity and to restore his her respiratory and physical independence thus decreasing the risks of bed rest associated complications. Chest physical therapy is used in the intensive care unit icu to minimize pulmonary secretion retention to maximize oxygenation and to reexpand atelectatic lung segments this article reviews how chest physical therapy is used with patients who are critically ill a brief historical review of the literature is presented. Chest physical therapy for patients in the intensive care unit chest physical therapy is used in the intensive care unit icu to minimize pulmonary secretion retention to maximize oxygenation and to reexpand atelectatic lung segments this article reviews how chest physical therapy is used with patients who are critically ill. Wilkoxon rank tests revealed significant differences between the two groups table 1specifically patients in the experimental group had significantly improved vital capacity p 005 and pimax p 005 following chest physiotherapyno significant differences were noted in any of the other outcome measures
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