The role of physiotherapy in Enhanced Recovery after Surgery in the intensive care unit

Thomas W. Wainwright; David A. McDonald; Louise C. Burgess

The role of physiotherapy in Enhanced Recovery after Surgery in the intensive care unit

Thomas W. Wainwright, David A. McDonald, Louise C. Burgess

NMAHP

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Abstract

Enhanced recovery after surgery (ERAS) is an evidence-based, multimodal approach to optimising patient outcomes following surgery. The role of physiotherapy within ERAS and intensive care units (ICU) is important. Patients admitted to an ICU following elective major surgery may suffer from physical, psychological and cognitive problems, which can impact their return to function and quality of life. ICU physiotherapists can enable patients to achieve ERAS programme aims throughout their stay in an ICU and this may accelerate the achievement of discharge criteria and subsequent return to function. Functional limitations and persistent weakness may exist long after discharge, and therefore there is a need to increase the awareness and involvement of physiotherapists within the outpatient setting. Establishing a standardised rehabilitation programme, informed by key ERAS principles and delivered by specialist physiotherapists supported by a well-informed ICU team can have long term benefits to patients post-discharge.

Original language	English
Pages (from-to)	146-147
Number of pages	2
Journal	ICU Management and Practice
Volume	17
Issue number	3
Publication status	Published - 15 Sep 2017

Keywords

physiotherapy
Enhanced Recovery after Surgery
ERAS
intensive care units
ICU

Documents and Links

Wainwright, T.W. et al (2017) The role of physiotherapy in Enhanced Recovery after Surgery in the Intensive Care Unit LB1508171
This is a post-peer-review, pre-copy edited version of an article published in ICU Management & Practice. The definitive publisher-authenticated version [insert complete citation information here] is available online at: https://healthmanagement.org/c/icu/issuearticle/the-role-of-physiotherapy-in-enhanced-recovery-after-surgery-in-the-intensive-care-unit
Accepted author manuscript, 301 KB

https://iii.hm/ddu

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Cite this

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abstract = "Enhanced recovery after surgery (ERAS) is an evidence-based, multimodal approach to optimising patient outcomes following surgery. The role of physiotherapy within ERAS and intensive care units (ICU) is important. Patients admitted to an ICU following elective major surgery may suffer from physical, psychological and cognitive problems, which can impact their return to function and quality of life. ICU physiotherapists can enable patients to achieve ERAS programme aims throughout their stay in an ICU and this may accelerate the achievement of discharge criteria and subsequent return to function. Functional limitations and persistent weakness may exist long after discharge, and therefore there is a need to increase the awareness and involvement of physiotherapists within the outpatient setting. Establishing a standardised rehabilitation programme, informed by key ERAS principles and delivered by specialist physiotherapists supported by a well-informed ICU team can have long term benefits to patients post-discharge.",

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