Examining the positive effects of exercise in intubated adults in ICU: a prospective repeated measures clinical study.
Intensive Crit Care Nurs
; 28(6): 307-18, 2012 Dec.
Article
en En
| MEDLINE
| ID: mdl-22458998
ABSTRACT
BACKGROUND:
Determining the optimal timing and progression of mobility exercise has the potential to affect functional recovery of critically ill adults. This study compared standard care with care delivered using a mobility protocol. We examined the effects of exercise on vital signs and inflammatory biomarkers and the effects of the nurse-initiated mobility protocol on outcomes.METHODS:
Prospective, repeated measures study with a control (standard care) and intervention (protocol) period.RESULTS:
75 heterogeneous subjects admitted to a Medical or Surgical intensive care unit (ICU) were enrolled. In <5% of exercise periods, there was a concerning alteration in respiratory rate or peripheral oxygen saturation; no other adverse events occurred. Findings suggested the use of a protocol with one 20 minute episode of exercise daily for 2 or more days reduced ICU length of stay. Duration of exercise was linked to increased IL-10, suggesting brief episodes of low intensity exercise positively altered inflammatory dysregulation in this sample.CONCLUSION:
A growing body of evidence demonstrates that early, progressive exercise has significant benefits to intubated adults. These results should encourage clinicians to add mobility protocols to the care of ICU adults and lead to future studies to determine optimal "dosing" of exercise in ICU patients.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ejercicio Físico
/
Cuidados Críticos
Tipo de estudio:
Guideline
/
Observational_studies
Límite:
Aged
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Intensive Crit Care Nurs
Asunto de la revista:
ENFERMAGEM
/
TERAPIA INTENSIVA
Año:
2012
Tipo del documento:
Article
País de afiliación:
Estados Unidos