A survey examining the use of mechanical insufflation-exsufflation on adult intensive care units across the UK. (November 2020)

• Record Type: Journal Article
• Authors: Swingwood, Ema; Tume, Lyvonne; Cramp, Fiona
• Is Part Of: Journal of the Intensive Care Society. Volume 21:Number 4(2020:Nov.)
• Page Start: 283
• Page End: 289
• Publication Date: 2020-11
• Subjects: Cough assist -- cough augmentation -- mechanical ventilation -- physiotherapy -- weaning; Critical care medicine -- Periodicals; Intensive care units -- Periodicals; 616.028
• DOI: 10.1177/1751143719870121
• Languages: English
• ISSNs: 1751-1437

Abstract

Introduction: Despite potential benefits, it is not known how widely physiotherapists use mechanical insufflation-exsufflation devices on UK adult intensive care units. This survey aimed to describe mechanical insufflation-exsufflation use in UK adult intensive care units. Methods: Cross-sectional electronic survey of physiotherapists working in a permanent post on adult intensive care units. Results: One hundred and sixty-six complete surveys were available for analysis, reflecting a diverse geographical spread. Nearly all (98%; 163/166) clinicians had access to mechanical insufflation-exsufflation. The estimated frequency of use varied, with the majority reporting weekly or monthly use (52/163, 32%; 50/163, 31%, respectively). Nearly all clinicians (99%) used mechanical insufflation-exsufflation with extubated patients. In contrast, around half of respondents (86/163, 53%) used mechanical insufflation-exsufflation with intubated patients, with a range of perceived barriers reported. Conclusions: Mechanical insufflation-exsufflation devices are widely available on UK adult intensive care units, with use more common in extubated patients. Barriers to mechanical insufflation-exsufflation use in the intubated population warrant further investigation