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CLINICAL ALGORITHM FOR THE MANAGEMENT OF PATIENTS WITH INJURIES TO THE CHEST WALL. Next step in the algorithm. IS PT INTUBATED ?. NO. YES. Monitor: pain management in consultation with multidisciplinary team secretion viscosity and ensure adequate humidification CLINICAL GUIDELINE.
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CLINICAL ALGORITHM FOR THE MANAGEMENT OF PATIENTS WITH INJURIES TO THE CHEST WALL Next step in the algorithm
IS PT INTUBATED ? NO YES
Monitor: • pain management in consultation with multidisciplinary team • secretion viscosity and ensure adequate humidification CLINICAL GUIDELINE Next step in the algorithm
Initiate therapy to include • Position pt in high sitting progressing to chair • Localized DBE • Shoulder ROM • Suction EXPERT OPINION Frequency • Initiate program ASAP after placement of ICD • Patients seen two times / day RECOMMENDATION 1 Previous step in the algorithm
Monitor pain management in consultation with multidisciplinary team CLINICAL GUIDELINE Next step in the algorithm
Assessment of pt as • alert • hemodynamically stable • presenting with unilateral damage to chest wall RECOMMENDATION 2 Next step in the algorithm Previous step in the algorithm
Discuss with multidisciplinary team the possibility of CPAP intervention (at least 6 hours/day) RECOMMENDATION 2 Next step in the algorithm
Initiate therapy to include: • DBE; • Shoulder ROM • Ambulation • Directed cough Frequency • Initiate program ASAP after placement of ICD • Patients seen two times / day RECOMMENDATION 1 Previous step in the algorithm