Early mobilisation algorithm for the critical patient. Expert recommendations.
Enferm Intensiva (Engl Ed)
; 32(3): 153-163, 2021.
Article
in En
| MEDLINE
| ID: mdl-34366295
ABSTRACT
INTRODUCTION:
Intensive care unit (ICU)-acquired weakness is developed by 40%-46% of patients admitted to ICU. Different studies have shown that Early Mobilisation (EM) is safe, feasible, cost-effective and improves patient outcomes in the short and long term.OBJECTIVE:
To design an EM algorithm for the critical patient in general and to list recommendations for EM in specific subpopulations of the critical patient most at risk for mobilisation neurocritical, traumatic, undergoing continuous renal replacement therapy (CRRT) and with ventricular assist devices (VAD) or extracorporeal membrane oxygenation (ECMO).METHODOLOGY:
Review undertaken in the Medline, CINAHL, Cochrane and PEDro databases of studies published in the last 10 years, providing EM protocols/interventions.RESULTS:
30 articles were included. Of these, 21 were on guiding EM in critical patients in general, 7 in neurocritical and/or traumatic patients, 1 on patients undergoing CRRT and 1 on patients with ECMO and/or VAD. Two figures were designed one for decision-making, taking the ABCDEF bundle into account and the other with the safety criteria and mobility objective for each.CONCLUSIONS:
The EM algorithms provided can promote early mobilisation (between the 1st and 5th day from admission to ICU), along with aspects to consider before mobilisation and safety criteria for discontinuing it.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Extracorporeal Membrane Oxygenation
/
Early Ambulation
Type of study:
Guideline
/
Prognostic_studies
/
Systematic_reviews
Limits:
Humans
Language:
En
Journal:
Enferm Intensiva (Engl Ed)
Year:
2021
Document type:
Article
Affiliation country:
España