دورية أكاديمية
أعرض في EDS

Fan Therapy for Dyspnea in Lung Transplant Recipients in the Intensive Care Unit: A Before-and-After Study.

التفاصيل البيبلوغرافية
العنوان: Fan Therapy for Dyspnea in Lung Transplant Recipients in the Intensive Care Unit: A Before-and-After Study.
المؤلفون: Sato T; Acute Care Nursing Division, Kobe City College of Nursing, Kobe, JPN., Tanaka S; Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, JPN., Sato R; Acute Care Nursing Division, Kobe City College of Nursing, Kobe, JPN., Kitao K; Department of Intensive Care Unit, Kyoto University Hospital, Kyoto, JPN., Kai S; Department of Intensive Care Unit, Kyoto University Hospital, Kyoto, JPN., Takeda C; Department of Anesthesia, Kyoto University Hospital, Kyoto, JPN., Ohsumi A; Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, JPN., Nakajima D; Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, JPN., Egawa K; Acute Care Nursing Division, Kobe City College of Nursing, Kobe, JPN., Date H; Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, JPN.
المصدر: Cureus [Cureus] 2024 May 10; Vol. 16 (5), pp. e60029. Date of Electronic Publication: 2024 May 10 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Introduction Fan therapy has gained attention as a non-pharmacological treatment for alleviating dyspnea in patients receiving palliative care and in those with chronic progressive diseases. However, the effectiveness of fan therapy for dyspnea in critically ill patients in intensive care units (ICUs) remains unclear. This study aimed to investigate the efficacy and safety of fan therapy for lung transplant patients in the ICU. Methods Fan therapy was performed on lung transplant recipients (age >18 years) who experienced dyspnea during their ICU stay. A tabletop portable fan was used to blow air on the patient's face for five minutes providing fan therapy. The intensity of dyspnea before and after the fan therapy was determined, and a statistical analysis was conducted using a paired t-test to evaluate the changes. Results Between May 2023 and February 2024, 16 patients who were admitted to the ICU following lung transplantation were screened, and eight patients received fan therapy. Fan therapy was performed at a median of postoperative day 12. Seven patients (87.5%) received mechanical ventilation via tracheostomy. The mean (±standard deviation) numerical rating scale (NRS) for dyspnea before and after fan therapy was 5.6±2.3 and 4.4±1.5, respectively ( p  = 0.08). The mean (±standard deviation) respiratory distress observation scale (RDOS) before and after fan therapy was 4.8 ± 2.0 and 3.8 ± 1.7, respectively ( p  = 0.03). No serious adverse events were observed, and no significant alterations were observed in the respiratory rate, oxygen saturation levels, pulse rate, or blood pressure. Conclusion The findings suggest that fan therapy can be safely used to relieve dyspnea in lung transplant recipients during their ICU stay. Further evaluations in larger trials are required to confirm the results of this study.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Sato et al.)
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فهرسة مساهمة: Keywords: critical care; dyspnea; fan therapy; intensive care unit; lung transplantation
تواريخ الأحداث: Date Created: 20240513 Latest Revision: 20240514
رمز التحديث: 20240514
مُعرف محوري في PubMed: PMC11088478
DOI: 10.7759/cureus.60029
PMID: 38736769
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.60029