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Please contact KCI at its toll free number, 1-800-275-6987, where a customer service representative will put you in touch with your KCI local salesperson. Please provide the literature reference number of the requested case studies to your local KCI salesperson, and he or she will send the requested material for you to review.
Cost Effectiveness in Kinetic Therapy™ In Preventing Nosocomial Lower Respiratory Tract Infection In Patients Suffering From Trauma (Mullins)
Kinetic Therapy™ can be cost effective, as it may result in net cost savings of $6,995 per patient compared to the standard ICU beds.
KCI Reference Number: 2-D-482
Cost Analysis Kinetic Therapy In The Prevention Of Complications Of Stroke (Kelley)
We prospectively evaluated the costs of medical care in a group of 43 patients with acute severe stroke. Patients were assigned to either a routine hospital bed or a rotational bed.
KCI Reference Number: 2-D-431
The Problem With Diagnosis Related Group 475 (Gracey)
The reimbursement of hospital Part A cost by Medicare under the original prospective payment system (PPS) created serious financial problems for hospitals in many areas but was especially serious in patients receiving mechanical ventilation.
KCI Reference Number: 2-D-481
Effect Of Continuous Lateral Rotation Therapy On The Prevalence Of Ventilator–Associated Pneumonia In Patients Requiring Long–Term Ventilatory Care (Kirschenbaum)
KCI Reference Number: 2-D-485
One Good Turn Deserves Another (Marik)
The iatrogenic state of pharmacological and physical immobilization induced in the intensive care unit has profound effects on the lungs, musculoskeletal and cardiovascular systems, and skin.
KCI Reference Number: 2-D-484
Is Early Kinetic Positioning Beneficial For Pulmonary Function In Multiple Trauma Patients? (Pape)
Post-traumatic pulmonary insufficiency and ARDS continue to represent a major threat to the trauma patient.
KCI Reference Number: 2-D-484
Rotational Kinetic Therapy™ For Ventilation/Perfusion Mismatch (McLean)
SIRS is often heralded by acute parenchymal changes causing refractory hypoxemia. The process is often classified according to the degree of alveolar dysfunction and atelectasis as either ALI or ARDS.
KCI Reference Number: 2-D-480
Maximizing Oxygenation In The Critically Ill (McLean)
In acutely ill patients, both ventilation and perfusion are often compromised. Astute interpretation skills and a more sophisticated version of a time-honored nursing intervention can help optimize oxygenation and blood flow and give patients a fighting chance.
KCI Reference Number: 2-D-488
Turning Points: Implementing Kinetic Therapy™ In The ICU (Powers)
Kinetic Therapy™ improves oxygenation, thus decreasing length of stay for patients with pulmonary disorders, such as nosocomial pneumonia, atelectasis, acute respiratory distress syndrome and acute lung injury.
KCI Reference Number: 2-D-494
RotoRest® Delta: Experience With Kinetic Therapy™ Response Of The PaO2/FiO2 Ratio: A Review Of 40 Patients (Konrad)
Kinetic Therapy™ was used to treat acute lung failure or as a prophylactic measure when there was an indication of development that could give rise to complications.
KCI Reference Number: 2-D-453
PediDyne®: The Role Of Kinetic Therapy™ And Proning In A Critically Ill Pediatric Patient (Muradian)
Eight days after having started Kinetic Therapy™ (at least 40º bilaterally for the duration of 18 hours/day), the patient’s pulmonary status improves enough to be extubated. The patient fully recovered and had no signs of pulmonary complications.
KCI Reference Number: 31-D-100
TriaDyne®: Case Study#1 (Bell)
A 52-year-old white male was admitted to the ICU. His medical history was significant for hypertension.
KCI Reference Number: 45-D-001
TriaDyne®: Mr. T (Mclean)
Mr. T is a 24-year-old male admitted to the ER with profound shock following multiple gunshot wounds and exsanguinations at the scene. Mr. T was placed on the TriaDyne® bed and rapidly achieved a 90º rotational arc.
KCI Reference Number: 45-D-003
TriaDyne®: Mr. E (McLean)
Mr. E., a 65-year-old male, was admitted to the emergency room with multiple gunshot wounds. As Mr. E achieved a 90º arc, his gas exchange improved significantly, allowing his advancement to SIMV (simultaneous intermittent mandatory ventilation).
KCI Reference Number: 45-D-005
TriaDyne®: Mr. J (McLean)
Mr. J., a 46-year-old male, was admitted to the ER after sustaining a single gunshot wound to the right chest. Mr. J was placed on a TriaDyne® Kinetic Therapy™ bed. He immediately began rotation at greater than 40º per side for a total arc of greater than 80º. His gas exchange improved within 8 hours, as did his CXR.
KCI Reference Number: 45-D-002
TriaDyne®: Mr. L (McLean)
Ms. L., a 18-year-old female, was an unrestrained passenger in a high speed MVA. Because her pulmonary status was so poor, with indices of ARDS and atelectasis, she was placed on a TriaDyne® bed and progressed to 45º per side for a total arc of 90º as tolerated.
KCI Reference Number: 45-D-004
RotoRest®: Case Study #2: Kinetic Therapy™ Enhances Mobilization Of Secretions (Summer)
A 59-year-old male, one pack a day cigarette smoker, was admitted to the MICU with the acute onset of left-side chest pain, cough productive of purulent sputum, fever and one or two episodes of shaking chills.
KCI Reference Number: 20-D-402
Evaluation Of Kinetic Therapy™ In The Prevention Of Complications Of Prolonged Bed Rest Secondary To Stroke (Kelley)
KCI performed a prospective, controlled study of Kinetic Therapy™ in acute, severe strokes. This therapy involved continuous mobilization of a bed-ridden patient by means of a specially designed rotating bed.
KCI Reference Number: 2-D-415
Kinetic Therapy™ In Critically Ill Trauma Patients (Nelson)
Comparison of the incidence of pulmonary complications and hospital resource utilization in patients treated with continuous rotation therapy versus manual turning in a traditional hospital bed.
KCI Reference Number: 2-D-425
Impact Of Kinetic Therapy™ of 45° On The Oxygenation Of Mechanically Ventilated Patients (Sriraman)
To prospectively study the impact of Kinetic Therapy™ using the TriaDyne® bed on oxygenation in critically ill, mechanically ventilated patients admitted to the MICU or the VW in a large tertiary care county hospital.
KCI Reference Number: 2-D-457
Kinetic Therapy™ In Critically Ill Pediatric Patients With Acute Respiratory Failure (Jaimovich)
Patients with acute hypoxic respiratory failure (ARF) present atelectasis and pleural effusions observed in dependent lung regions. Continuous rotation therapy (right/left) lateral positions should redistribute fluids and resolve atelectasis, reducing the risks of nosocomial pneumonias and ventilatory time.
KCI Reference Number: 30-D-122
Uncovering The Benefits Of Kinetic And Percussive Therapies In Pediatrics (Schultz)
The subject was a 5-month-old female with a history of hemophagocytic syndrome, pneumonitis, mucositis, graft-versus-host disease, peripheral edema, hypertension, urinary-tract infection and poorly controlled pain.
KCI Reference Number: 31-D-101
Prone Positioning Of Patients With ARDS: A Systematic Review (Curly)
Recently, prone positioning has regained popularity as a simple therapeutic maneuver to improve arterial oxygenation and pulmonary mechanics in patients with acute lung injury or ARDS.
KCI Reference Number: 2-D-475
Prone Position And Low–Volume Pressure–Limited Ventilation Improve Survival Of Patients With Severe ARDS (Stocker)
Prone position appears to be a useful therapeutic tool in the treatment of ARDS. It helps to overcome the major disadvantage of pressure-limited ventilation, ie, hypoxia, and is currently not known to have negative effects on the structural integrity of the lung.
KCI Reference Number: 2-D-497
Prone Position In Acute Respiratory Distress Syndrome (Pelosi)
The aim of this review is to discuss the physiological and clinical effects of prone positioning in patients with ARDS.
KCI Reference Number: 2-D-502
What Is The Optimal Duration Of Ventilation In The Prone Position In Acute Lung Injury And acute Respiratory Distress Syndrome? (McAuley)
Objective: To evaluate the effects of prone ventilation on respiratory parameters and extravascular lung water (EVLW) in patients with ALI and ARDS in order to characterize the optimal duration of ventilation in the prone position.
KCI Reference Number: 2-D-504
Effect Of Combined Kinetic Therapy™ And Percussion Therapy On the Resolution Of Atelectasis In Critically Ill Patients (Raoof)
Some critically ill patients have trouble mobilizing their respiratory secretions. These patients can develop pulmonary atelectasis that may result in hypoxemia.
KCI Reference Number: 2-D-473
Kinetic Therapy™ In Critically Ill Patients: Combined Results Based On Meta-Analysis (Choi)
A number of investigators have independently studied the effects of Kinetic Therapy™ (KT) in medical, surgical and neurologic intensive care units (ICUs). This is a statistical analysis of the results from some of the studies.
KCI Reference Number: 21-D-107
Computer-Supported Continuous Axial Rotation Therapy In Prone Position For Complex Polytrauma Patients With ARDS (Stiletto)
Ten patients with ALI or ARDS after sustained polytrauma were treated in a surgical ICU with computer-supported axial rotation therapy in the prone position as delivered by the RotoProne® Therapy System.
KCI Reference Number: 30-D-131
The Efficacy Of An Oscillating Bed In The Prevention Of Lower Respiratory Tract Infection In Critically Ill Victims Of Blunt Trauma (Fink)
KCI Reference Number: 2-D-442
Turnabout May Be More Than Fair Play (Albert)
Studies elucidating the mechanisms by which the prone position improves oxygenation in patients with ARDS, together with those suggesting mechanisms by which VILI occurs have led to the hypothesis that the prone position may limit VILI.
KCI Reference Number: 2-D-486
A Protocolized Approach To Pulmonary Failure And The Role If Intermittent Prone Positioning (Michaels)
We present a series of adult patients treated under a protocol for severe lung failure (ARDS) that uses positive-end expiratory pressure (PEEP) optimization and intermittent prone positioning (IPP) to reduce shunt, improve oxygen (O2) delivery and reduce FiO2.
KCI Reference Number: 2-D-490
Decrease In PaCO2 With Prone Position Is Predictive Of Improved Outcome In Acute Respiratory Distress Syndrome (Gattinoni)
Objective: To determine whether gas exchange improvement in response to the prone position is associated with an improved outcome in acute lung injury (ALI)/acute respiratory distress syndrome (ARDS).
KCI Reference Number: 2-D-500
The Effect Of Kinetic Positioning On Lung Function And Pulmonary Haemodynamics In Post Traumatic ARDS: A Clinical Study (Pape)
Two different groups were differentiated: group KIN receiving kinetic positioning and group CON receiving conventional supine positioning. In order to test our clinical impression we therefore compared multiple injured patients with ARDS receiving continuous rotation with those ventilated in the supine position.
KCI Reference Number: 30-D-111
Improving Outcomes In Patients With ARDS (McCarthy)
ARDS is a life-threatening condition that increases mortality, lengthens hospital stay and markedly consumes resources.
KCI Reference Number: 2-D-477
Effect Of Combined Kinetic Therapy™ And Percussion Therapy On the Resolution Of Atelectasis In Critically Ill Patients (Raoof)
Some critically ill patients have trouble mobilizing their respiratory secretions. These patients can develop pulmonary atelectasis that may result in hypoxemia.
KCI Reference Number: 2-D-473
Kinetic Therapy™ In Critically Ill Patients: Combined Results Based On Meta-Analysis (Choi)
Referenced in 2-A-169 A number of investigators have independently studied the effects of Kinetic Therapy™ (KT) in medical, surgical and neurologic intensive care units (ICUs). This is a statistical analysis of the results from some of the studies.
KCI Reference Number: 30-D-115
Effect Of Prone Positioning On The Survival Of Patients With Acute Respiratory Failure (Gattinoni)
Referenced in 2-B-138 The prone position is increasingly being used to treat patients with acute lung injury or the acute respiratory distress syndrome, since a 1976 study reported that placing such patients in the prone position improves oxygenation.
KCI Reference Number: 2-D-483
Computer-Supported Continuous Axial Rotation Therapy In Prone Position For Complex Polytrauma Patients With ARDS (Stiletto)
Ten patients with ALI or ARDS after sustained polytrauma were treated in a surgical ICU with computer-supported axial rotation therapy in the prone position as delivered by the RotoProne® Therapy System.
KCI Reference Number: 30-D-115
Comparison Of Prone Positioning And Continuous Rotation Of Patients With ARDS: Results Of A Pilot Study (Staudinger)
Objective: To compare prone positioning and continuous rotation therapy with respect to oxygenation and hemodynamics in patients suffering from ARDS.
KCI Reference Number: 30-D-126
Effects Of Different Degrees Of The RotoRest® Kinetic Treatment Table (RRKTT) On Extravascular Lung Water (EVLW), Hemodynamics And Oxygenation In Patients With ARDS (Berkemeier)
The incidence of pulmonary complications is lower in patients treated on the RotoRest® Treatment Table. The aim of this study was to evaluate the effects of different degrees of rotation of the RRKTT on extravascular lung water (EVLW) hemodynamics and oximetrics.
KCI Reference Number: 2-D-462
The Use Of Progressive Lateral Rotation To Prevent Refractory Hypoxemia (McLean)
Infectious and inflammatory complications of the lower respiratory tract are a significant cause of increased morbidity, mortality and cost in the immobile, intubated and ventilated critically ill patient.
KCI Reference Number: 30-D-124
The Role Of Kinetic Therapy™ In The Treatment Of Post-Traumatic Respiratory Failure (Stilleto)
“Positioning therapy in the treatment of severe oxygenation disorders (such as ARDS and ALI) seems to be one of the most promising supportive interventions…” The goal of this study was to develop guidelines for the use of Kinetic Therapy™ in preparation for a prospective randomized, multicenter trial.
KCI Reference Number: 30-D-127
Effect Of Different Degrees Of Continuous Rotation On Hemodynamics And Oxygenation In Patients With ARDS (Berkemeier)
This study tested the hypothesis that greater angles of continuous rotation (40º to 62º bilaterally) would provide improvements in intrapulmonary shunt and oxygenation, while lower angles of rotation would not.
KCI Reference Number: 30-D-123
Prone Position And Positive End-Expiratory Pressure In ARDS (Gainnier)
Objective: To determine whether positive end-expiratory pressure (PEEP) and prone position present a synergistic effect on oxygenation and if the effect of PEEP is related to computed tomography scan lung characteristic.
KCI Reference Number: 2-D-496
Prone Position In Subarachnoid Hemorrhage Patients With Acute Respiratory Distress Syndrome (Reinprecht)
This study’s objective was to evaluate the effect of prone positioning on brain tissue oxygenation and cerebral perfusion pressure.
KCI Reference Number: 30-D-133
The majority of these references were written by independent clinicians not employed by KCI (articles written by KCI employees are identified as such). While the articles support general pulmonary indications, claims and indicated applications of Critical Care Therapies™ products, they may also reference claims, indications and benefits that have not been cleared by the FDA. Consult a physician and product labeling for proper indications, contraindications, warnings and precautions for Critical Care Therapies™ products prior to use.
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