Dr Lisa van der Lee
@lisa_vanderlee
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Passionate ICU Senior Physiotherapist, Researcher, Educator. Opinions are my own.
Perth, Western Australia
Joined January 2014
Co-leading the ECMO-Rehab trial at Fiona Stanley Hospital #ICU to get suitable critically ill patients, like Clint featured in this news story, requiring #ECMO life support up and moving earlier with #physiotherapy is a highlight of my career so far! https://t.co/OBgd80oCZS
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🏥 Our New Research: Falls Risk in #ICU Survivors 🚨 61% fell in first year after #ICU, most had multiple falls Highest risk: First 3 months post-discharge Highlights need for: 1️⃣ Screening 2️⃣ Medication optimization 3️⃣ Targeted #exercise
#icurehab
https://t.co/St88eWuPCM
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Australian clinical practice guideline for physical rehabilitation and mobilisation in adult intensive care units now published- more evidence to help clinicians get the best outcomes for our sickest patents @chodgsonANZICRC @tessabroadley
https://t.co/EEf0LeSKqJ
australiancriticalcare.com
The evidence base for research on physical rehabilitation and mobilisation in the intensive care unit has led to uncertainty about best practice.
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Nice work #ICU #ultrasound #physiotherapy The presence of loculation or septation on lung ultrasound is specific and predictive for exudative pleural effusion. https://t.co/hOSEHNd460
pubmed.ncbi.nlm.nih.gov
TUS features of loculation or septation are specific and predictive for exudative pleural effusion. The presence of septation and loculation was each associated with a higher likelihood of complica...
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Great to see physiotherapists leading this work https://t.co/D0X2xBhEEH "A cognitive aid had good usability and enhanced intensive care clinicians’ assessment, confidence, and communication about the extubation readiness of patients with acute cervical spinal cord injury"
australiancriticalcare.com
Early management of patients in the intensive care unit after acute spinal cord injury is challenging, particularly for patients with cervical injury and tetraplegia who have high rates of pneumonia...
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LATER-19 study: #fatigue, #dyspnoea, #anxiety, #depression were more prevalent in people who tested + for #COVID19, than those who tested -, til ~8 months after illness. Differences no longer evident at 12 mo: https://t.co/FM8ZNjWk31 The WA experience! Kris Grove & @DrDaleEdgar
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Looking forward to a great day learning, networking and presenting - so much great work being done by physiotherapists in the ICU space 😁 @chodgsonANZICRC @lisa_vanderlee @NinaLeggett @tessabroadley @iculisah
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So humbled to be able to share our recent review in the opening plenary at #isicem24 that showed the safety of early mobilisation in ICU, although need to analyse the influence of individual phenotypes - post-doc sorted! https://t.co/FL8IOOeqob
@a_serpaneto @chodgsonANZICRC
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Excited to announce our team will expand our work with older people to reduce falls and improve health - thanks to MRFF support! @MegPhysio @cathy_said @ASemciw @UWA_SAH @northernhealth_ @western_health @WAHealth @UWAHealthAgeing @AmyTPage
uwa.edu.au
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Almost years ago, I evaluated almost 200 ICU patients at the time of discharge in the landmark ABC Trial. Almost 100% of them were significantly cognitively impaired but they rarely looked this way. Don't assume, that your patients are cognitively normal. @CIBScenter
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Help improve critical care research If you have been a patient in intensive care in Aust. or NZ or you are a family member, carer or partner of someone who has been, consider joining our group. Details here: https://t.co/ZJXAkRbxIk
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Our editorial discussing the importance of personalised rehabilitation and humanising care in ICU. Great to collaborate with @NydahlPeter and Gabi Heras-La Calle @FHSanidad
https://t.co/Tlvlj3BzfD
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SR meta-analysis with 13 cohort studies = 1,022 patients with ARDS ➡️High LUS score predictive of hospital mortality in ARDS patients https://t.co/JonR0Rrb0A
link.springer.com
Background Lung ultrasound (LUS) score could quantitatively reflect the lung aeration, which has been well applied in critically ill patients. The aim of the systematic review and meta-analysis was...
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This is important commentary - is an increase in heat rate or a drop in oxygen saturation that resolved with cessation of exercise really an adverse event? My review coming soon will investigate this further! @SabrinaEggmann @BernieBissett @gosselink_rik @NydahlPeter
Food for thought: when are responses during rehabilitation physiological and when considered adverse events? https://t.co/Sht1JjS4QA Joint effort of @SabrinaEggmann @NydahlPeter @BernieBissett @rikgoss
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The feasibility and acceptability of a physician-led ICU follow-up service: a prospective cohort study
australiancriticalcare.com
Tweetable abstractICU follow-up is feasible with a moderate rate of clinic attendance. Satisfaction with the service reported by patients and caregivers was high.
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Rehabilitation for #ICU survivors is about body & mind. ‘Recovery’ doesn’t end at discharge: can last forever. Tell patient & family about #delirium. Warn them & tell them that they don’t have to be alone when that happens. 🖋️ #ICMfromtheinside #Icurehab 🔓 https://t.co/czICJlHjeB
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Great paper from @georgentou1 & colleagues. "It is feasible to visualize the upper airways during nasotracheal suctioning as an objective means to guide the more accurate insertion of the suction catheter past the vocal folds." #RespIsBest @TheACPRC
pubmed.ncbi.nlm.nih.gov
We present a case report demonstrating that it is feasible to visualize the upper airways during nasotracheal suctioning as an objective means to guide the more accurate successful insertion of the...
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Managing adult patients with #ARDS, @atscommunity clinical practice guideline. Should pts receive 💉 systemic corticosteroids? 🩸 VV #ECMO? 💉 neuromuscular blockade? 🫁 higher vs lower PEEP, with or without LRMs?? Open access #FOAMcc @ATSBlueEditor 🔓 https://t.co/vCnDhUNaXl
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#COVID19 pts requiring prolonged #ECMO can survive with nonlimiting lung impairment! In this multicenter study 🫁 53.3% survived decannulation, 51.7% alive at hospital discharge, 50.8% alive at 6m follow-up 🫁 age & awake strategy predictors of survival 🖇️ https://t.co/RJL3QUKuKm
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