title: Impact of kinetic beds on the incidence of atelectasis in mechanically ventilated patients.
abstract: We investigated the impact of kinetic beds on the incidence of atelectasis in mechanically ventilated patients in an intensive care unit (ICU). All bronchoscopies performed for atelectasis on mechanically ventilated patients between July 2000 and June 2001 and between July 2002 and June 2003 were reviewed. On July 26, 2001, 50 kinetic beds, 20 continuous lateral rotation therapy modules, and 20 percussion and vibration modules were introduced to our institution. Of the 3399 ICU admissions between July 2000 and June 2001, 71 patients developed atelectasis while being mechanically ventilated. Of the 3065 ICU admissions between July 2002 and June 2003, 83 patients developed atelectasis while being mechanically ventilated. Of these, 48 (58%) patients had left-sided atelectasis, 30 (36%) had right-sided atelectasis, and 5 (6%) had bilateral atelectasis. There was no decrease in the incidence of atelectasis in mechanically ventilated patients at our institution after the introduction of kinetic beds and vibration, percussion, and rotation modules despite their widespread availability.
authors.affiliation: Pulmonary/Critical Care Medicine and Cardiology Divisions, New York Medical College, Valhalla, NY 10595, USA.
authors.forename: Dipak
authors.initials: D
authors.lastname: Chandy
authors.forename: Rachna
authors.initials: R
authors.lastname: Sahityani
authors.forename: Wilbert S
authors.initials: WS
authors.lastname: Aronow
authors.forename: Safdar
authors.initials: S
authors.lastname: Khan
authors.forename: Lawrence J
authors.initials: LJ
authors.lastname: DeLorenzo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001513:Beds; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007700:Kinetics; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D001261:Pulmonary Atelectasis / Q000209:etiology* / Q000517:prevention & control; D012121:Respiration, Artificial / Q000009:adverse effects*; D012189:Retrospective Studies