Physiological Responses to In-Bed Cycle Ergometry Treatment in ICU Patients with External Ventricular Drainage

neurocriticalcare.org April 1, 2022

These data suggest that supine CE in a heterogeneous cohort of neurocritical care patients with EVDs is safe and tolerable. Larger prospective studies are needed to determine the efficacy and optimal dose and timing of supine CE in neurocritical care patients.

27 patients successfully underwent in-bed CE in the NCCU.

No clinically significant changes were recorded in neurologic or in physiological parameters before or after CE.

There were no device dislodgements or other adverse effects requiring cessation of a CE session.

Patients admitted to the NCCU who had an EVD placed for cerebrospinal fluid drainage and intracranial pressure (ICP) monitoring underwent supine CE therapy with passive and active cycling settings.

Neurologic status, ICP and hemodynamic parameters were monitored before and after each CE session.