Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults
MetadataShow full item record
Introduction: To develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. Methods: A systematic literature review followed by a meeting of 23 multidisciplinary ICU experts to seek consensus regarding the safe mobilization of mechanically ventilated patients. Results: Safety considerations were summarized in four categories: respiratory, cardiovascular, neurological and other. Consensus was achieved on all criteria for safe mobilization, with the exception being levels of vasoactive agents. Intubation via an endotracheal tube was not a contraindication to early mobilization and a fraction of inspired oxygen less than 0.6 with a percutaneous oxygen saturation more than 90% and a respiratory rate less than 30breaths/minute were considered safe criteria for in- and out-of-bed mobilization if there were no other contraindications. At an international meeting, 94 multidisciplinary ICU clinicians concurred with the proposed recommendations. Conclusion: Consensus recommendations regarding safety criteria for mobilization of adult, mechanically ventilated patients in ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events.
This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons License http://creativecommons.org/licenses/by/4.0/ Please refer to the licence to obtain terms for any further reuse or distribution of this work
Showing items related by title, author, creator and subject.
Analyses of cascading failure in mine ventilation system and its effects in a serious mine gas explosion disasterZhou, F.; Wei, L.; Chen, K.; Cheng, Jianwei (2013)In 2009, a serious gas explosion happened in Tunlan coal mine at Shanxi province, P.R. China, which claimed the lives of 78 miners. 114 miners got injured, and nearly 4 million dollars of economic loss was reported. ...
The effect of physiotherapy on the prevention and treatment of ventilator-associated pneumonia for intensive care patients with acquired brain injuryPatman, Shane Michael (2005)Background: Ventilator-associated pneumonia is a major cause of morbidity and mortality for patients in an intensive care unit. Once present, ventilator-associated pneumonia is known to increase the duration of mechanical ...
Enhancing rehabilitation of mechanically ventilated patients in the intensive care unit: A quality improvement projectMcWilliams, D.; Weblin, J.; Atkins, G.; Bion, J.; Williams, J.; Elliott, Catherine; Whitehouse, T.; Snelson, C. (2015)Purpose: Prolonged periods of mechanical ventilation are associated with significant physical and psychosocial adverse effects. Despite increasing evidence supporting early rehabilitation strategies, uptake and delivery ...