hello everybody
i m pei woon from malaysia
currently there was a SCI patient who suffering trauma from C3-C7 and now was on halovast
he was admitted into ICU for almost 1 month and doctor can't wean the ventilation due to patient can't breathe by himself fully
they keep changing patient ventilation mode between CPAP and SIMV
they do try to put patient into trachy mask but patient was descent after half an hour
they think patient was having muscle insufficient.
breathing pattern of he is paradoximal breathing pattern

this patient has sensation back after 3 weeks of trauma at both upper limb but very minimal
light touch test done , patient able to felt untill level T2 but only 5% if compared to the face which 100%
proprioception was intact but patient can't tell exact position, he only know it is moving
he also able to perform shoulder shrug for left but no for rt

so question is , do u guys think tilt table can help this patient ?
in malaysia , i haven't saw any SCI cases with ventilation was treat with tilt table and i try to find journal online, still think there is limited literature about it.
most people use tilt table for people who are not SCI patient but neurological patient and get a good outcome


so can anybody pls tell me about this method if u guys have try it before??
what should i concern when i m doing this?
is it suitable ? why?
thanks lots for your help!!

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