Abstract
Background: Intensive care patients are at high risk of increased mortality and morbidity and longer hospital stay secondary to prolonged immobility. 1 Methods: Early mobilization and therapeutic exercises reduce delirium and days on mechanical ventilation, shorten ICU and hospital stay, improve physical function, and reduce healthcare costs. 2,3 Mobilization and exercise can be safely implemented for patients receiving mechanical ventilation and continuous hemofiltration. 4–6 The incidence of physical deconditioning and other ICU-acquired morbidities are very high among patients with severe respiratory failure. Protocol-directed progressive early mobilizations of these groups of patients are safe and feasible even if they are on ECMO. 7,8 Our ECMO patients are evaluated daily to assess hemodynamic and respiratory stability, and suitability for mobilization and exercise program. Assessment includes cardiovascular parameters, ECMO circuit, APTT and arterial blood gas results and targets, sedation level, mu...
Highlights
Intensive care patients are at high risk of increased mortality and morbidity and longer hospital stay secondary to prolonged immobility.[1]
Mobilization and exercise can be safely implemented for patients receiving mechanical ventilation and continuous hemofiltration.[4,5,6]
The incidence of physical deconditioning and other Intensive Care Unit (ICU)-acquired morbidities are very high among patients with severe respiratory failure
Summary
Intensive care patients are at high risk of increased mortality and morbidity and longer hospital stay secondary to prolonged immobility.[1]. Background: Intensive care patients are at high risk of increased mortality and morbidity and longer hospital stay secondary to prolonged immobility.[1] Methods: Early mobilization and therapeutic exercises reduce delirium and days on mechanical ventilation, shorten ICU and hospital stay, improve physical function, and reduce healthcare costs.[2,3] Mobilization and exercise can be safely implemented for patients receiving mechanical ventilation and continuous hemofiltration.[4,5,6] The incidence of physical deconditioning and other ICU-acquired morbidities are very high among patients with severe respiratory failure.
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