Journal ArticleDOI
Early Mobilization in the Intensive Care Unit: A Systematic Review
Joseph Adler,Daniel J. Malone +1 more
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TLDR
A search of the scientific literature revealed a limited number of studies that examined the mobilization of critically ill patients in the intensive care unit, but literature that does exist supports early mobilization and physical therapy as a safe and effective intervention that can have a significant impact on functional outcomes.Abstract:
Purpose
The purpose of this review is to evaluate the literature related to mobilization of the critically ill patient with an emphasis on functional outcomes and patient safety.read more
Citations
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Journal ArticleDOI
Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults
Carol L. Hodgson,Kathy Stiller,Dale M. Needham,Claire J Tipping,Megan Harrold,Claire E. Baldwin,Claire E. Baldwin,Scott J. Bradley,Susan C Berney,Lawrence R. Caruana,Douglas J Elliott,Margot Green,Kimberley J Haines,Kimberley J Haines,Alisa Higgins,Kirsi-Maija Kaukonen,Kirsi-Maija Kaukonen,Isabel Leditschke,Isabel Leditschke,Marc Nickels,Jennifer Paratz,Jennifer Paratz,Shane Patman,Elizabeth H Skinner,Paul J Young,Jennifer M. Zanni,Linda Denehy,Steven A R Webb,Steven A R Webb +28 more
TL;DR: Consensus recommendations regarding safety criteria for mobilization of adult, mechanically ventilated patients in the ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events.
Journal ArticleDOI
Physiotherapy in Intensive Care: An Updated Systematic Review
TL;DR: Available new evidence suggests that physiotherapy intervention that comprises early progressive mobilization is beneficial for adult patients in the ICU in terms of its positive effect on functional ability and its potential to reduce ICU and hospital length of stay.
Journal ArticleDOI
Early Mobilization of Mechanically Ventilated Patients: A 1-Day Point-Prevalence Study in Germany*
Peter Nydahl,A. Parker Ruhl,Gabriele Bartoszek,Rolf Dubb,Silke Filipovic,Hans Jürgen Flohr,Arnold Kaltwasser,Hendrik Mende,Oliver Rothaug,Danny Schuchhardt,Norbert Schwabbauer,Dale M. Needham +11 more
TL;DR: In this 1-day point-prevalence study conducted across Germany, only 24% of all mechanically ventilated patients and only 8% of patients with an endotracheal tube were mobilized out of bed as part of routine care.
Journal ArticleDOI
A Randomized Trial of an Intensive Physical Therapy Program for Patients with Acute Respiratory Failure
Marc Moss,Amy Nordon-Craft,Daniel C Malone,David Van Pelt,Stephen K. Frankel,Mary Laird Warner,Wendy Kriekels,Monica McNulty,Diane L. Fairclough,Margaret Schenkman +9 more
TL;DR: An intensive PT program did not improve long-term physical functional performance compared with a standard-of-care program and there were no differences in the total CS-PFP-10 scores at all three time points.
Journal ArticleDOI
Safety of Patient Mobilization and Rehabilitation in the Intensive Care Unit. Systematic Review with Meta-Analysis.
Peter Nydahl,Thiti Sricharoenchai,Saurabh Chandra,Firuzan Sari Kundt,Minxuan Huang,M. Fischill,Dale M. Needham +6 more
TL;DR: Patient mobilization and physical rehabilitation in the ICU appears safe, with a low incidence of potential safety events, and only rare events having any consequences for patient management.
References
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Journal ArticleDOI
Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial.
William D. Schweickert,Mark C. Pohlman,Anne S. Pohlman,Celerina Nigos,Amy J. Pawlik,Cheryl L. Esbrook,Linda Spears,Megan E. Miller,Mietka Franczyk,Deanna Deprizio,Gregory A. Schmidt,Amy Bowman,Rhonda Barr,Kathryn E. McCallister,Jesse B. Hall,John P. Kress +15 more
TL;DR: A strategy for whole-body rehabilitation-consisting of interruption of sedation and physical and occupational therapy in the earliest days of critical illness-was safe and well tolerated, and resulted in better functional outcomes at hospital discharge, a shorter duration of delirium, and more ventilator-free days compared with standard care.
Journal ArticleDOI
Functional disability 5 years after acute respiratory distress syndrome.
Margaret S. Herridge,Catherine M. Tansey,Andrea Matte,George Tomlinson,Natalia Diaz-Granados,Andrew B. Cooper,Cameron B. Guest,C. D. Mazer,Sangeeta Mehta,Thomas E. Stewart,Paul Kudlow,Deborah J. Cook,Arthur S. Slutsky,Angela M. Cheung +13 more
TL;DR: Exercise limitation, physical and psychological sequelae, decreased physical quality of life, and increased costs and use of health care services are important legacies of severe lung injury.
Journal ArticleDOI
One-Year Outcomes in Survivors of the Acute Respiratory Distress Syndrome
Margaret S. Herridge,Angela M. Cheung,Catherine M. Tansey,Andrea Matte-Martyn,Natalia Diaz-Granados,Fatma Al-Saidi,Andrew B. Cooper,Cameron B. Guest,C. David Mazer,Sangeeta Mehta,Thomas E. Stewart,Aiala Barr,Deborah J. Cook,Arthur S. Slutsky +13 more
TL;DR: In this article, the authors evaluated 109 survivors of the acute respiratory distress syndrome 3, 6, and 12 months after discharge from the intensive care unit, and found that muscle weakness and fatigue were the reasons for their functional limitation.
Journal Article
One-Year Outcomes in Survivors of the Acute Respiratory Distress Syndrome
TL;DR: The absence of systemic corticosteroid treatment, the absence of illness acquired during the intensive care unit stay, and rapid resolution of lung injury and multiorgan dysfunction were associated with better functional status during the one-year follow-up.