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
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TLDR
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.Abstract:
Background: Early mobilization and rehabilitation of patients in intensive care units (ICUs) may improve physical function, and reduce the duration of delirium, mechanical ventilation, and ICU length of stay. However, safety concerns are an important barrier to widespread implementation.Objectives: To synthesize safety data regarding patient mobilization and rehabilitation in the ICU, including falls, removal of endotracheal tubes, removal or dysfunction of intravascular catheters, removal of other catheters/tubes, cardiac arrest, hemodynamic changes, and desaturation.Data Sources: Systematic literature review, including searches of five databases. Eligible studies evaluated patients who received mobilization-related interventions in the ICU. Exclusion criteria included: (1) case series with fewer than 10 patients; (2) majority of patients under 18 years of age; and (3) data not reported to permit calculation of incidence of safety events.Data Extraction: Number of patients, mobilization/rehabilitation se...read more
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Journal ArticleDOI
Frühmobilisation auf der Intensivstation: Wie ist die Evidenz?
Journal ArticleDOI
Early Mobilization of Patients Receiving Vasoactive Drugs in Critical Care Units: A Systematic Review
Prasobh Jacob,P. Surendran,Muhamed Aleef E M,Theodoros Papasavvas,Reshma Praveen,Narasimman Swaminathan,Fiona Milligan +6 more
TL;DR: Evidence determining specific doses of vasoactive drugs that would allow safe mobilization of patients in critical care is lacking and the criteria that have been used to determine the eligibility to mobilize patients on vaso active drugs have not been consistent.
Journal ArticleDOI
Cardiorespiratory response to early rehabilitation in critically ill adults: A secondary analysis of a randomised controlled trial
Sabrina Eggmann,Irina Irincheeva,Gere Luder,Martin L. Verra,André Moser,Caroline H. G. Bastiaenen,Stephan M. Jakob +6 more
TL;DR: A large range of variation during rehabilitation and recovery mirrors the heterogenous interventions and patient reactions, whereby the best option to stimulate a cardiorespiratory response seems to be active patient participation, shorter session durations and mobilisation.
Journal ArticleDOI
Multidisciplinary, early mobility approach to enhance functional independence in patients admitted to a cardiothoracic intensive care unit: a quality improvement programme.
Prasobh Jacob,Poonam Gupta,Shiny Shiju,Amr S Omar,Syed Ansari,Gigi Mathew,Miki Varghese,Jinsograce Pulimoottil,Sumi Varkey,Menandro Mahinay,Darlene Jean Costelo De Jesus,P. Surendran +11 more
TL;DR: In this article, the CTICU team implemented a quality improvement (QI) project aimed at the early mobilisation of patients after cardiac surgery, where patients admitted to the cardiothoracic intensive care unit (CTICU) following cardiac surgery had only bed exercises and were confined to bed until the chest tubes were removed.
Journal ArticleDOI
Time to active sitting position: One-year findings from a temporary COVID-19 intensive care unit
Veronica Rossi,Cesare Del Monaco,Simone Gambazza,Martina Santambrogio,Filippo Binda,Mariangela Retucci,Emilia Privitera,Marco Mantero,Nicola Bottino,Dario Laquintana,Francesco Blasi +10 more
TL;DR: In this paper , the authors investigated the association between time to active sitting position and clinical features in people with COVID-19 admitted to intensive care unit (ICU) and referred to physiotherapists.
References
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TL;DR: Moher et al. as mentioned in this paper introduce PRISMA, an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses, which is used in this paper.
Journal ArticleDOI
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
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