An evidence-based guideline on early mobilization of mechanically ventilated patients

2013 ◽  
Author(s):  
Mei-yee Cheung
Keyword(s):  
Early Mobilization ◽  
Evidence Based ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Evidence Based Guideline ◽  
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
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