Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit

Alaparthi, Gopala Krishna and Gatty, Aishwarya and Samuel, Stephen Rajan and Kumar, Sampath A (2020) Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit. Critical Care Research and Practice, 2020 (1). pp. 1-14. ISSN 20901305

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Abstract

Purpose. Patients admitted to the intensive care unit (ICU) are generally confined to bed leading to limited mobility that may have detrimental effects on different body systems. Early mobilization prevents or reduces these effects and improves outcomes in patients following critical illness. +e purpose of this review is to summarize different aspects of early mobilization in intensive care. Methods. Electronic databases of PubMed, Google Scholar, ScienceDirect, and Scopus were searched using a combination of keywords. Full-text articles meeting the inclusion criteria were selected. Results. Fifty-six studies on various aspects such as the effectiveness of early mobilization in various intensive care units, newer techniques in early mobilization, outcome measures for physical function in the intensive care unit, safety, and practice and barriers to early mobilization were included. Conclusion: Early mobilization is found to have positive effects on various outcomes in patients with or without mechanical ventilation. +e newer techniques can be used to facilitate early mobilization. Scoring systems—specific to the ICU—are available and should be used to quantify patients’ status at different intervals of time. Early mobilization is not commonly practiced in many countries. Various barriers to early mobilization have been identified, and different strategies can be used to overcome them.

Item Type: Article
Uncontrolled Keywords: Early mobilization
Subjects: Allied Health > Mangalore Campus > Physiotherapy
Depositing User: KMCMLR User
Date Deposited: 20 Apr 2021 11:15
Last Modified: 20 Apr 2021 11:15
URI: http://eprints.manipal.edu/id/eprint/156710

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