Early Mobilization of Mechanically Ventilated Patients

2016 ◽  
Vol 28 (4) ◽  
pp. 413-424 ◽  
Author(s):  
Pam Hruska
Keyword(s):  
Early Mobilization ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

Mobilization of Mechanically Ventilated Patients in Switzerland

2017 ◽  
Vol 35 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Alberto Sibilla ◽  
Peter Nydahl ◽  
Nicola Greco ◽  
Giuseppe Mungo ◽  
Natalie Ott ◽  
...  
Keyword(s):  
Organ Failure ◽  
Early Mobilization ◽  
Bed Rest ◽  
Point Prevalence Study ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Potential Safety ◽  
Failure Assessment ◽  
Active Mobilization ◽  
Ventilated Patients

Purpose: Growing evidence suggests that early mobilization benefits intensive care unit (ICU) patients. However, national practices and the culture of individual ICUs influence mobilization activities. Materials and Methods: In a 1-day, Swiss point prevalence study conducted in 35 ICUs (representing 45% of all ICUs), the highest level of mobilization for mechanically ventilated patients was characterized using the validated ICU Mobility Scale, along with data collection for potential safety events and mobilization barriers. Results: Among 161 mechanically ventilated patients, a total of 33% (n = 53) had active mobilization, with walking achieved by only 2% (n = 4). More severe organ failure was associated with lower mobilization (respiratory Sequential Organ Failure Assessment score: P = .037, cardiac: P = .008, neurology: P < .001). Barriers to mobilization were reported in 71% (n = 115), with deep sedation significantly higher among patients receiving passive versus active mobilization (14% vs 0%, P = .005). Potential safety events occurred in 20% (n = 33) of patients without significant differences between passive and active mobilization. Availability of physiotherapists and appropriate equipment were not reported barriers. Conclusion: Mobilization during mechanical ventilation occurred infrequently with greater organ failure associated with lower mobilization. Addressing the identified modifiable barriers via structured efforts to achieve multidisciplinary culture change is essential to decrease the common use of bed rest in Swiss ICUs.

scholarly journals Respiratory Support Adjustments and Monitoring of Mechanically Ventilated Patients Performing Early Mobilization: A Scoping Review

2021 ◽  
Vol 3 (4) ◽  
pp. e0407
Author(s):  
Felipe González-Seguel ◽  
Agustín Camus-Molina ◽  
Anita Jasmén ◽  
Jorge Molina ◽  
Rodrigo Pérez-Araos ◽  
...  
Keyword(s):  
Scoping Review ◽  
Early Mobilization ◽  
Respiratory Support ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

scholarly journals Effect of early mobilization on discharge disposition of mechanically ventilated patients

2015 ◽  
Vol 27 (3) ◽  
pp. 859-864 ◽  
Author(s):  
Hideki Ota ◽  
Hideki Kawai ◽  
Makoto Sato ◽  
Kazuaki Ito ◽  
Satoshi Fujishima ◽  
...  
Keyword(s):  
Early Mobilization ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Discharge Disposition ◽  
Ventilated Patients

scholarly journals Knowledge, Attitude, and Perceived Barriers of Newly Graduated Registered Nurses Undergoing Standardized Training in Intensive Care Unit Toward Early Mobilization of Mechanically Ventilated Patients: A Qualitative Study in Shanghai

2022 ◽  
Vol 9 ◽  
Author(s):  
Jinxia Jiang ◽  
Sijia Zhao ◽  
Peng Han ◽  
Qian Wu ◽  
Yan Shi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Registered Nurses ◽  
Intensive Care Units ◽  
Early Mobilization ◽  
Perceived Barriers ◽  
Clinical Implementation ◽  
New Nurses ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

Aim: To explore the knowledge and attitudes of newly graduated registered nurses, who have undergone standardized training in the intensive care unit, about the early mobilization of mechanically ventilated patients and identify perceived barriers to the application of early mobilization.Background: Early mobilization of mechanically ventilated patients has been gradually gaining attention, and its safety and effectiveness have also been verified. Nurses in intensive care units are the implementers of early mobilization, and the quality of their care is closely related to patient prognosis. However, the knowledge and attitude of newly graduated registered nurses undergoing standardized training, in intensive care units, on the early mobilization of mechanically ventilated patients and the obstacles they face in clinical implementation are still unclear.Methods: This qualitative study utilized the phenomenological method to explore the experiences of 15 newly graduated registered nurses undergoing standardized training in intensive care units in a 3rd hospital in Shanghai, China. Semi-structured face-to-face interviews were conducted in June 2020. The Colaizzi seven-step framework was used for data analysis.Findings: A total of 15 new nurses comprised the final sample after data saturation. Three main themes emerged from the analysis and seven subthemes: perceived importance, low implementation rate, and perceived barriers.Conclusions: Newly graduated registered nurses undergoing standardized training in intensive care units have a high level of awareness of the importance of early mobilization of mechanically ventilated patients and are willing to implement it. However, there is a lack of relevant knowledge and other obstacles that restrict clinical implementation. Early mobilization should be included in the standardized training of new nurses in intensive care units.

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