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CONTINUOUS LATERAL ROTATION THERAPY: HEALTHY FOR THE LUNGS, SAFE FOR THE SKIN? | 54825
Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.
Continuous Lateral Rotation Therapy (CLRT) is a treatment modality used in intensive care units for early mobilization of
ventilated patients by mechanically rotating them laterally left-center-right in bed. Research supports its use for the treatment of
pulmonary diseases and for the prevention of VAP by mobilizing secretions in the lungs. Some in healthcare believe that CLRT is not
sufficient to allow for capillary re-perfusion, which may lead to tissue damage. The purpose of this research is to evaluate the effect
of CLRT on posterior skin integrity by asking the following questions: Are there differences in skin pressure readings, skin integrity,
or perceived discomfort among three positioning scenarios: Continuous lateral rotation therapy (CLRT) only; CLRT with static
wedge (30°) and static wedge (30°). A linear mixed model analysis for repeated measures was used to compare mean and maximum
interface pressure. Maximum pressures were recorded to quantify the amount of pressure on capillary beds while mean pressures
were recorded to illustrate a pressure over time effect. CLRT alone demonstrated statistically lower interface pressures on ischial
tuberosities (P<0.05) as compared to any use of a static wedge. Statistically higher pressures were noted on the heels in CLRT alone
(P<0.05). No difference noted between static wedge alone and CLRT with wedge. Pain noted in wedge positioning: 7/10 subjects;
CLRT with wedge: 6/10 subjects; CLRT alone: 1/10 subjects. No erythema or breakdown noted. The results of this study support the
use of CLRT to decrease pressure on capillary beds and also decrease patient pain.
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