Early upper limb ergometry use in the intensive care patient
Research type
Research Study
Full title
Cardiorespiratory effects of early upper limb ergometry use in the medical intensive care patient.
IRAS ID
146890
Contact name
Rebecca Cusack
Contact email
Sponsor organisation
University Hospital Southampton NHS Foundation Trust
Duration of Study in the UK
0 years, 6 months, 0 days
Research summary
Recent studies have demonstrated that survivors of severe critical illness on Intensive Care can suffer from physical and psychological complications which have been identified in some patients at 5 years post hospital discharge (Herridge et al 2011).
Early rehabilitation (</= 72 hours after intubation) of these patients has been found to be safe and feasible (Morris et al 2008). However there is little published literature looking at the bodies response to oxygen delivery and uptake on starting rehabilitation at this early stage of critical illness. This study may provide preliminary data to inform future research into early rehabilitation during critical illness which may facilitate the screening and titration of early use of rehabilitation depending on how critically ill the patient is.
The objective of this research is to record oxygen uptake and delivery on intubated intensive care medical patients whilst they undergo early rehabilitation. Data will be collected before, during, and after a rehabilitation session, defined as pedalling using both arms for 30 minutes using an ergometer. Eligible participants will be adults admitted with a medical diagnosis requiring intubation, ventilation and sedation, and deemed appropriate for the early mobility programme (EMP).
The EMP is part of the care delivered on a daily basis via the use of an exercise machine called a cycle ergometer. The patient’s arms are attached to the limbs by velcro handles and can assist in either the passive(when the patient is asleep)mode or in the active mode(when the patient is awake and can participate).
This is a single site study looking to recruit 10 patients at Southampton's adult Intensive Care Unit and will potentially last six months. Each eligible patient will be involved in two phases (passive and active phase) with a total participation time of 2 1/2 hours.
REC name
South Central - Hampshire A Research Ethics Committee
REC reference
14/SC/1398
Date of REC Opinion
22 Jan 2015
REC opinion
Further Information Favourable Opinion