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CLINICAL REFERENCES AND FURTHER READING RELATED TO PROGRESSIVE MOBILITY THERAPY AND THE VEST Print

Continuous Lateral Rotation Therapy   |    Prone Position   |   Semi-recumbant Position / FullChair™ Positioning    |   Customer Testimonials    |   The vest

Continuous Lateral Rotation Therapy
Hamlin S K et al
Adverse Haemodynamic Effects of Lateral Rotation during Mechanical Ventilation.
Dimensions of Critical Care (2008) vol 27 no 2: 54-61
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La Grange K.
A Comparison of Non-Rotational and Rotational Interventions. Hill-Rom White Paper. 1997
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Fortune D.
Comparison of Clinical Outcomes in Pulmonary Complications for Continuous Rotation Therapy via Two Different Therapeutic Beds. Hill-Rom White Paper. 2003
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Vollman KM.
The right position at the right time:Mobility makes a difference. Pulse: Hill-Rom in the News
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Kirschenbaum L., et al
Effect of continuous lateral rotation therapy on the prevalence of ventilator associated pneumonia in patients requiring long-term ventilatory care.Critical Care Medicine. 30:9; 2002
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Thomas L.
Quality outcomes & financial justification on CLRT through protocol implementation.
Hill-Rom White Paper. 1996
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Union Hospital
Continuous Lateral Rotation Therapy.
A comparison of continuous later rotation and manual turning-a process improvement initiative.
Hill-Rom White Paper. 2001
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Davis K., et al
The acute effects of body position strategies and respiratory therapy in paralysed patients with acute lung injury.
Critical Care. 2001
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Hill-Rom
The Effect of Continuous Lateral Rotation Therapy Lag Times on Hospital Length of Stay and Total Hospital Costs.
Hill-Rom White Paper. 2003
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Grimes C., et al
Continuous Lateral Rotation Therapy via Mattress Replacement in a Critical Care Setting. 2003
(Presented at AACN Conference May 2003)
Swadener-Culpepper L., et al
Continuous Lateral Rotation Therapy (CLRT): Development and Implementation of an Effective Protocol for the ICU.
NTI research Award. Oral Presentation May 2005
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Washington G T., et al*
Evaluation of outcomes: The effects of continuous lateral rotation therapy.
Journal of Nursing Care Quality. 2005, 20(3) 273-82
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Riggs L*
As the bed turns: Clinical and cost management of lateral rotation.
AACN National Teaching Institute, New Orleans. May 2005
Scally S et al*
Continuous lateral rotation therapy for the prevention and treatment of respiratory complications in the intensive care unit. Hill-Rom White Paper, 2005
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Hiser B J., et al*
Implementing a Pressure Ulcer prevention Program and Enhancing the Role of the CWOCN: Impact on Outcomes. Ostomy Wound Management, 2006, 52(2) 48-59
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Phillips J., et al
Long–term VAP Reduction with CQI methods AARC Poster Dec 2005
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Hess D.
Patient Positioning and Ventilator Associated Pneumonia Respiratory Care July 2005 50(7)
Link to journal home page

Delaney A., et al
Kinetic bed therapy to prevent nosocomial pneumonia in mechanically ventilated patients: a systematic review and meta-analysis
Link to journal home page

Fink M. P., et al
The efficacy of an oscillating bed in the prevention of lower respiratory tract infection in critically ill victims of blunt trauma. Chest. January 1990; 97; 132-137
Link to journal home page
Summer W.R., et al
Continuous mechanical turning of intensive care unit patients shortens length of stay in some diagnostic-related groups. Journal of Critical Care. 1989; 4:1; 45 – 53
Link to journal home page
Choi S. C., Nelson L. D.
Kinetic Therapy in Critically Ill Patients: Combined Results Based on Meta-Analysis. Journal of Critical Care. March 1992; 7: 1; 57-62
Link to journal home page
American Thoracic Society
Hospital–acquired pneumonia in adults: diagnosis, assessment of severity, initial antimicrobial therapy and preventative strategies. A consensus statement. Am J Respir Crit Care Med. 1995
Link to journal home page

Ahrens T., et al
Effect of Kinetic Therapy on Pulmonary Complications.
American Journal of Critical Care. September 2004; 13, 5
Link to journal home page                                 

European Society of Intensive Care Medicine Technology & Health Informatics Section
Monograph reporting the proceedings of a Clinician-Industry Workshop held on Friday 23rd September and Saturday 24th September 2005 at the Okura Hotel, Amsterdam, cosponsored by Hill-Rom. Chaired by Michael Imhoff (TAHI Research representative) and Carl Waldmann (TAHI Chairman) this was the sixth combined industry and clinical workshop between members of TAHI and industry colleagues and was held under the auspices of ESICM.
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Goldhill D R., et al
Rotational Bed Therapy to prevent and Treat Respiratory Complications: A Review and Meta-Analysis
American Journal of Critical Care, January 2007, Volume 16, No. 1.
Link to journal home page

Pickett K.E Mb, Bch
Current Controversies in Ventilator Associated Pneumonia
Part I: Epidemiology and Pathophysiology                     
ICU Management 1-2008
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Pickett K.E Mb, Bch
Current Controversies in Ventilator Associated Pneumonia
Part II: Diagnosis and Antimicrobial Management                    
ICU Management 2-2008
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 Prone Position
Pappert D., et al
Influence of Positioning on Ventilation – Perfusion Relationships in Severe Adult Respiratory Distress Syndrome, Chest. November 1994; 106:5;1511-1516
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Phiel M. A., et al
Use of extreme position changes in acute respiratory failure. Critical Care Medicine. 1976 Vollman K. M.
Prone Positioning for the ARDS Patient.
Dimensions of Critical Care Nursing. 1997
Link to journal home page
Vollman K. M
Prone Positioning for the ARDS Patient. Dimensions of Critical Care Nursing. 1997
Link to journal home page
Gattinoni L., et al
Effect of prone positioning on the survival of patients with acute respiratory failure.
N Eng J Med. 345:8; 2001
Link to journal home page
Pelosi P., et al
Prone position in acute respiratory distress syndrome.
Eur Respir J. 20:1017-1028; 2002
Link to journal home page
Ball C., et al
Use of the prone position in the management of acute respiratory distress syndrome.
Clinical Effectiveness in Nursing. 1999
Link to journal home page
Goettler C., et al
Brachial plexopathy after prone positioning.
Critical Care. 2002
Hill-Rom.
Positioning Strategies in Critical Care.
Care of the Critically Ill October 2004; 20:

Mancebo J., et al
A Multicentre Trial of Prolonged Prone Ventiliation in severe Acute Respiratory Distress Syndrome                         American Journal of Respiratory and Critical Care Medicine Vol 173 pp1233-1239
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 Semi-recumbant Position / FullChair™ PositioninG

Jean-Christophe M Richard et al
Effects of vertical positioning on gas exchange and lung volumes in acute respiratory distress syndrome.
Intensive Care Medicine (2006) 32: 1623-1626
Link to journal home page

Safdar N et al
Educational interventions for the prevention of healthcare asssociated infection: A systematic review
Critical Care Medicine (2008) vol 36 no 3: 933-940
Link to journal home page

Tampa General Hospital
Comparison of Caregiver Time Necessary for Patient Positioning using the TotalCare® Bed System versus a Standard Bed. Hill-Rom White Paper. 1998
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Emory Hospital
A Comparative Study of Physiological Variables in Patients Undergoing CABG Procedures using the TotalCare® Bed System versus a Standard Bed.
Hill-Rom White Paper. 1999
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Branson R., et al
Effect of Body Position on Pulmonary Mechanics, Gas Exchange and Lung Volumes in Elderly Subjects without Lung Disease.
Hill-Rom White Paper. 1997
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Drakulovic M. B., et al
Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial.
The Lancet. 354; 1999
Link to journal home page
Branson R., et al
Effect of Body Position on Pulmonary Mechanics, Gas Exchange and Lung Volumes in Obese Subjects without Lung Disease.
Hill-Rom White Paper. 1997
Krishnagopalan S.
Body positioning of intensive care patients, clinical practice versus standards.
Critical Care Medicine. 2002
Link to journal home page
ESICM.
Guidelines for management of Severe Sepsis and Septic Shock 2004
M van der Schaaf et al
Mobilising Ventilated Critically Ill Patients: a clinical decision aid based on current best practise. N Journal Critical Care. Vol 9 No 2. April 2005
Hospital Research Associates*
A physician perspective: Placing the critical care patient “up-in-chair”.
Society of Critical Care Medicine, Orlando, 2000
West Virginia Hospitals*
Hill-Rom and West Virginia Hospitals Case Study.Hill-Rom White Paper.
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Van Beers F et al*
The effects of body positioning in ventilated (intubated) obese patients.
Poster presentation ESICM 2005
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Lorente L et al
Evidence on measures for the prevention of ventilator-associated pneumonia.
European Respiratory Journal, vol 30, nu 6, 1103-1207

Wellstar Health System
The WellStar Health System: A “Focus” Partnership: Maximizing Clinical and Financial Outcomes
Hill-Rom White Paper. 2001
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CUSTOMER TESTIMONIALS

Hill-Rom
50 Hill-Rom customers highly rate the unique features of the TotalCare® Duo®2 Therapy System.
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Hill-Rom
George Elliot Hospital report key advantages from the Hill-Rom TotalCare® SpO2RT® Pulmonary Therapy System. Download pdf file

Hill-Rom
Hill-Rom’s Respistar® Dynamic Air Therapy System is rated as highly effective in the managementof acutely ill patients.
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Hill-Rom
George Elliot Hospital Patients Benefit from TotalCare® SpO2RT® Pulmonary Therapy System.
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Hill-Rom
The Vest®  Case Study
Dr Graham Lake
Patient, with bilateral cylindrical bronchiectasis
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Hill-Rom
Annoted Hill-Rom®
High Frequency Chest wall oscillation Bibliography
Release 1.0 30 March 2006
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Hill-Rom
The Vest®  Case Study H
Nicky Mills, Senior 1 Physiotherapist, Adult Cystic Fibrosis Unit,
Glenfield Hosppital University Hospital of Leicestershire, England
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Hill-Rom
The Vest®  Case Study N
Nicky Mills, Senior 1 Physiotherapist, Adult Cystic Fibrosis Unit,
Glenfield Hosppital University Hospital of Leicestershire, England
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Hill-Rom
Matrix:
HFCWO and Acute Care/Post-Surgical/Ventilator-Dependent Patients
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Hill-Rom
Matrix:
HFCWO and The Vest® Airway Clearance System
Studies: Long-Term Home care Airway Clearance Patients
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Hill-Rom - Lachenbruch, C, Ph.D
Microclimate Management
So much more than just Airflow...
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the vest
Allan JS, Garrity JM, Donahue DM. 
The utility of high-frequency chest wall oscillation therapy in the post-operative management of thoracic surgical patients. 
Chest  2003; 124(suppl 4): 235S.
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Babcock W, Menza RL, Riznyk S, Prince P, Kern TJ. 
Results of a prospective study using high-frequency chest wall oscillation for brain dead organ donors. 
J Heart Lung Trans  2002; 21:A239
Brierley S, Adams C, Suelter J, Gooch T, Becker B. 
Safety and tolerance of high-frequency chest wall oscillation (HFCWO) in hospitalized critical care patients. 
Respir Care  2003; 48(11): 1112.
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Calverley PMA, Chang HK, Vartian V, Zidulka A. 
High-frequency chest wall oscillation:  assistance to ventilation in spontaneously breathing subjects. 
Chest  1986; 89(6):  218-223.
Castagnino M, Vojtova J, Kaminski S, Fink R.
Safety of high-frequency chest wall oscillation in patients with respiratory muscle weakness. 
Chest  1996; 110:  S65.
Gomez A, Elisan I, Hardy K. 
Utilization of high-frequency chest wall oscillation (Vest therapy) during therapeutic pediatric flexible fiberoptic bronchoscopy. 
Poster presentation at the 46th International Respiratory Congress of the American Association for Respiratory Care, October 7, 2000, Cincinnati, Ohio, USA.
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Gumary L, Barrett J, Kailey A, Honeybourne D, Whitehouse J, Lee J, Keyon L, Ledbetter S
High Frequency Chest Wall Oscillation on adjunct to other airway clearance techniques in adults with Cystic Fibrosis?
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King M, Zidulka A, Phillips D, Wight D, Gross D, Chang HK
Tracheal mucus clearance in high-frequency oscillation:  effect of peak flow rate bias. 
Eur Respir J 1990; 3:  6-13.
Nakagawa NK, Franchini ML, Driusso P, de Oliveira LR, Saldiva PHN, Lorenzi-Filho G.
Mucociliary clearance is impaired in acutely ill patients. 
CHEST  2005;128:2772-2777.
Ndukwu IM, Shapiro S, Nam AJ, Schumm PL.
Comparison of high-frequency chest wall oscillation (HFCWO) and manual chest therapy (MCPT) in long-term acute care hospital (LTAC) ventilator-dependent patients. 
Chest 1999; 116(4 Suppl 2): 311S.
Rhodes DJ, Lemons NV, Coupland DJ, Orr SC, Soto RD, Gomez CR. 
Simultaneous application of vibrating vest and cough assist device improve respiratory function in stroke patients. 
28th International Stroke Conference.  2003
Whitman J, Van Beusekom R, Olson S, Worm M, Indihar F.
Preliminary evaluation of high-frequency chest compression for secretion clearance in mechanically ventilated patients. 
Respir Care 1993; 38(10):  1081-1087.
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Piloplys AD (Md CMD FRCPC FAAP), Lewis S (RN), Kasnicka I (RN)
Pulmonary Vest Therapy in pediatric Long-Term care                                                                                                 Journal of the American Medical Directors Assosiation Vol 3 No5 Oct 02
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Ottonello G, Franceschi A, Casciaro R, Alessandri A De, et al
High Frequency Chest Wall Oscillation & Intrapulmonary Percussive Ventilation
Case report
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Sólyom Enikö (Dr MD PhD) Chief Physian Head of Child Health Centre 20th September 2007
Borsod County Teaching Hospital, Child Health Centre
Expert Opinion on the Vest System Airpway secretion clearance system based on the treatment of patients suffering from cystic fibrosis
Szentipēten 72-76, 3501 Miskolc, Hungary
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Raynor O
Private In-vest-igations
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Tomklewicz RP, Ayaza, Biviji, King M
Pulmonary Research Group Dept of Medicine Canada
Effect of Oscillating Airflow on the Rheological properties and clearability of Muscous Gel Simulants
Extracted from Biorheology Vol 31 No. 5 PP 511-520  1994
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Szakmán M (Pulmonary Assistant), Pápai-Szēkely Z (Dr Chief Ward Physician)
Expert Opinion on the Vest System
Székefehévár 4 Feb 08
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Hug MJ (Dr)
Sekretmobilisation bei Mukoviszidosepatienten mil der Vest®
Ein Erfahrungsbericht
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Bede O (Dr) Head of Cystic Fibrosis Centre
Szeged 25th January 2008
Opinion on the Vest Airway Clearance system
Ars C, Delguste P, et al
Pneumonology Cliniques Universitaires Saint-Luc, UCL
Whole Lung lavage in alveolar proteinosis manual clapping versus mechancial percussion. A randomized trial
Case Study
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