Early Mobilization in the ICU: Difference between revisions
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Globally people recover from critical illnesses and get discharged from an ICU setup, however it has been noticed that patients develop weakness, probably credited to their prolonged period of immobilization.<ref>Harrold ME, Salisbury LG, Webb SA, Allison GT, Australia and Scotland ICU Physiotherapy Collaboration. Early mobilisation in intensive care units in Australia and Scotland: a prospective, observational cohort study examining mobilisation practises and barriers. Crit Care. 2015 Dec 1;19(1):336.</ref> Post intensive care syndrome was the term used which describes worsening of physical, mental and cognitive problems. <ref>Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, Zawistowski C, Bemis-Dougherty A, Berney SC, Bienvenu OJ, Brady SL. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Crit Care Med. 2012 Feb 1;40(2):502-9.</ref> Early mobilization of the critically ill patients is a safe option with additional benefits of improving functional outcomes.<ref>Stiller K. Physiotherapy in intensive care: an updated systematic review. Chest 2013;144:825–47.</ref> | Globally people recover from critical illnesses and get discharged from an ICU setup, however it has been noticed that patients develop weakness, probably credited to their prolonged period of immobilization.<ref>Harrold ME, Salisbury LG, Webb SA, Allison GT, Australia and Scotland ICU Physiotherapy Collaboration. Early mobilisation in intensive care units in Australia and Scotland: a prospective, observational cohort study examining mobilisation practises and barriers. Crit Care. 2015 Dec 1;19(1):336.</ref> Post intensive care syndrome was the term used which describes worsening of physical, mental and cognitive problems. <ref>Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, Zawistowski C, Bemis-Dougherty A, Berney SC, Bienvenu OJ, Brady SL. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Crit Care Med. 2012 Feb 1;40(2):502-9.</ref> Early mobilization of the critically ill patients is a safe option with additional benefits of improving functional outcomes.<ref>Stiller K. Physiotherapy in intensive care: an updated systematic review. Chest 2013;144:825–47.</ref> | ||
The term "mobilization in the Intensive care Unit is | The term "mobilization in the Intensive care Unit is refered to physical activity performed to the intensity that can bring about physiological changes.<ref>Castro-Avila AC, Serón P, Fan E, Gaete M, Mickan S. Effect of early rehabilitation during intensive care unit stay on functional status: systematic review and meta-analysis. PloS one. 2015;10(7).</ref> Early mobilization is the application of physical activity as early as the 2nd to 5th day after the onset of critical illness or injury. <ref>Hodgson CL, Berney S, Harrold M, Saxena M, Bellomo R. Clinical review: early patient mobilization in the ICU. Crit Care 2013;17:207.</ref> | ||
== Benefits of Early Mobilization == | == Benefits of Early Mobilization == | ||
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Ventilation | Ventilation | ||
== Techniques == | == Early Mobilization Techniques == | ||
Although active techniques are preferred more than passive and attribute more to the prevention of complications these are some of the listed techniques hat come under the scope of early mobilization | |||
Passive and active range of motion | Passive and active range of motion | ||
Revision as of 11:06, 14 April 2020
Globally people recover from critical illnesses and get discharged from an ICU setup, however it has been noticed that patients develop weakness, probably credited to their prolonged period of immobilization.[1] Post intensive care syndrome was the term used which describes worsening of physical, mental and cognitive problems. [2] Early mobilization of the critically ill patients is a safe option with additional benefits of improving functional outcomes.[3]
The term "mobilization in the Intensive care Unit is refered to physical activity performed to the intensity that can bring about physiological changes.[4] Early mobilization is the application of physical activity as early as the 2nd to 5th day after the onset of critical illness or injury. [5]
Benefits of Early Mobilization[edit | edit source]
The proposed benefits are
increased circulation
Prevention of venous stasis and deep vein thrombosis
feeling of alertness
Better central and peripheral perfusion
Ventilation
Early Mobilization Techniques[edit | edit source]
Although active techniques are preferred more than passive and attribute more to the prevention of complications these are some of the listed techniques hat come under the scope of early mobilization
Passive and active range of motion
Active side to side turning
Exercising in the bed
Bed side sitting
Transfers from bed to the chair and vice versa
Ambulation
Hoist therapy
Tilt table
Resistance exercises
Electrical stimulation
- ↑ Harrold ME, Salisbury LG, Webb SA, Allison GT, Australia and Scotland ICU Physiotherapy Collaboration. Early mobilisation in intensive care units in Australia and Scotland: a prospective, observational cohort study examining mobilisation practises and barriers. Crit Care. 2015 Dec 1;19(1):336.
- ↑ Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, Zawistowski C, Bemis-Dougherty A, Berney SC, Bienvenu OJ, Brady SL. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Crit Care Med. 2012 Feb 1;40(2):502-9.
- ↑ Stiller K. Physiotherapy in intensive care: an updated systematic review. Chest 2013;144:825–47.
- ↑ Castro-Avila AC, Serón P, Fan E, Gaete M, Mickan S. Effect of early rehabilitation during intensive care unit stay on functional status: systematic review and meta-analysis. PloS one. 2015;10(7).
- ↑ Hodgson CL, Berney S, Harrold M, Saxena M, Bellomo R. Clinical review: early patient mobilization in the ICU. Crit Care 2013;17:207.
