Early Ambulation: The Physiologic Basis Revisited

Author(s):  
Nanette K. Wenger
Keyword(s):  
2020 ◽  
Vol 19 (4) ◽  
pp. 301
Author(s):  
Amanda Mariano Morais ◽  
Daiane Naiara Da Penha ◽  
Danila Gonçalves Costa ◽  
Vanessa Beatriz Aparecida Fontes Schweling ◽  
Jaqueline Aparecida Almeida Spadari ◽  
...  

Introduction: The functional benefits of Early Mobilization (EM) capable of minimizing limitations and deformities in the face of immobility are clear, but there are many barriers to conduct EM as a routine practice in the Intensive Care Unit (ICU), including the use of vasoactive drugs (VAD), since it is directly related to weakness acquired in the ICU, in addition to the resistance of the multidisciplinary team to mobilize the patient using VAD. Objective: The objective of this literature review is to raise a scientific basis in the management of critically ill patients using DVAs for EM in the ICU. Methods: It is an integrative review of the literature, with research in the databases: PEDro, Pubmed, Lilacs, with articles published between 2011 and 2018, in Portuguese and English, using the terms: vasoactive drugs, early mobility, exercise in UCI, vasopressor and its equivalents in Portuguese. Results: Nine studies were included that analyzed the EM intervention in patients using VAD, with or without ventilatory support. There was no homogeneous treatment among the researched works, varying between exercises in bed and outside, with passive and / or active action. However, regardless of the conduct, there was an improvement in the cardiovascular response without relevant changes regarding the use of VAD. Conclusion: EM is not contraindicated for patients in the ICU with the use of VAD, and it was shown to be effective and safe without promoting relevant hemodynamic and cardiorespiratory changes, which would determine its absolute contraindication.Keywords: vasodilator agents, early ambulation, intensive care units, physical therapy specialty.


2020 ◽  
Vol 11 (3) ◽  
pp. 3212-3221
Author(s):  
Naniwadekar R G

Multiple researchers have given numerous guidelines in the clinical management of this disorder in the late nineteenth and twentieth centuries, after comprehensive works on the subject. As a result, a very wide variety of surgical procedures are now available to the surgeon to suit the requirement. There have been numerous advances in the management of inguinal hernia. Inguinal hernias can conveniently be repaired under all kinds of anaesthesia, namely general, spinal and local. Whereas the general anaesthesia requires the services of an experienced anaesthetist and new devices and spinal anaesthesia requires postoperative impairment while local anaesthesia is safe to prescribe, easy and efficient and does not cause postoperative complications. This work consisted of a study group of twenty-five adult patients of uncomplicated inguinal hernias, who after repair of hernias, which after repair of hernias were allowed early ambulation and had a short hospital, stay of one day post operatively. The second control group consisted of similar twenty-five patients who are subjected to conventional delayed ambulation and prolonged hospital stay. The results of repair in the two groups were compared; the available literature on the subject was reviewed. The implementation of ”shortstay surgery” not only relieves the waiting list in hospitals but also offers an economic boost and provides the patient with some social advantages.


2018 ◽  
Vol 11 (4) ◽  
Author(s):  
Lisa M. Fleming ◽  
Xin Zhao ◽  
Adam D. DeVore ◽  
Paul A. Heidenreich ◽  
Clyde W. Yancy ◽  
...  

Author(s):  
Nanda Mirani

Mobilisasi berguna untuk membantu upaya jalannya penyembuhan luka. Oleh karena itu salah satu upaya untuk mempercepat penyembuhan luka post sectio caesarea dapat dilakukan dengan mobilisasi dini (Early Ambulation). Berdasarkan data dari RSUD Aceh Tamiang pada tahun 2016 sebanyak 772 (63%) persalinan merupakan persalinan dengan sectio caesarea. Penelitian ini bertujuan untuk mengetahui hubungan mobilisasi dini dengan penyembuhan luka pada pasien sectio caesarea di RSUD Aceh Tamiang. Penelitian ini merupakan penelitian analitik menggunakan rancangan cross sectional study. Teknik sampling yang digunakan adalah teknik accidental sampling, penelitian dilakukan di RSUD Aceh Tamiang sebanyak 30 responden. Analisa data berupa analisis univariat dan bivariat menggunakan uji Chi-Square. Hasil penelitian diperoleh lebih banyak melakukan mobilisasi dini 17 (56,7%) responden, lebih banyak penyembuhan lukanya baik 21 (70,0%) responden. Hubungan antara mobilisasi dini dengan penyembuhan luka pada pasien sectio caesarea diperoleh nilai p (sig) = 0,002 < 0,05. Kesimpulan dalam penelitian ini ada hubungan antara mobilisasi dini dengan penyembuhan luka pada pasien sectio caesarea.


2019 ◽  
Vol 218 (1) ◽  
pp. 125-130
Author(s):  
Nicholas A. Calotta ◽  
Devin Coon ◽  
Tobias J. Bos ◽  
Benjamin T. Ostrander ◽  
Andrew V. Scott ◽  
...  

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