Early Mobilization in the ICU
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 reffered 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
Techniques[edit | edit source]
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.
