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
Mobilising intensive care patients early
Xi Wern Ling,Yee Hua Lim,Hwee Kuan Ong,Vimal Palanichamy,Kenneth Bao Ren Leong,Xi Yun Ling,Ken Cheah Hooi Lee,Vui Kian Ho +7 more
TL;DR: This data indicates that early mobilisation in the intensive care unit has been suggested to improve outcomes, but safety and practical concerns have led to the slow uptake of this approach.
Journal ArticleDOI
Out-of-the-ICU Mobilization in Critically Ill Patients: The Safety of a New Model of Rehabilitation
TL;DR: In this paper , the safety of participation in the out-of-the-ICU program for early mobilization was investigated and the primary outcome was the occurrence rate of physical safety events, defined as unintentional removal of medical devices, patient agitation, a fall, or an injury.
Journal ArticleDOI
Inspiratory muscle training in intensive care unit patients: An international cross-sectional survey of physiotherapist practice
TL;DR: In this paper , the authors investigate barriers to implementing inspiratory muscle training in the intensive care context and additionally determine if any factors are associated with the use of inspiration in patients in the ICU.
Journal ArticleDOI
Walking on ECMO support: An analysis of videos shared on social media.
Arianna Gazzato,Tommaso Scquizzato,Anna Lúcia de Mello Franco,Alberto Zangrillo,Anna Mara Scandroglio +4 more
Journal ArticleDOI
PROtokollbasierte MObilisierung auf IntensivstaTIONen
Peter Nydahl,A. Diers,Ulf Günther,B. Haastert,Stefan Hesse,C. Kerschensteiner,S. Klarmann,Sascha Köpke +7 more
TL;DR: In this article, a multizentrische „stepped-wedge“ clusterrandomisierte Pilotstudie is dargestellt, in which Intensivstationen erhalten ein adaptiertes interprofessionelles Protokoll zur Fruhmobilisierung.
References
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Journal ArticleDOI
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
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