Abstract
Physical deconditioning and muscle weakness have become common problems in critical patients undergoing mechanical ventilation. Early mobilization has been proposed to counteract that process, and has been introduced as an important strategy in rehabilitation. ObjectiveTo describe implementation of an early mobilization program in patients admitted into an adult intensive care unit in Cali. MethodsDescriptive study. The sample consisted of 346 formats of records of patients admitted to an adult medical-surgical intensive care unit. A physiotherapist carried out the activities of early mobilization twice a day, depending upon physiological stabilization, within 48hours of admission to the intensive care unit. ResultsOver a period of seven months, 7,822 early mobilisation activities were conducted. The average ICU stay was 7 days (standard deviation: 8).The most frequent activity was sitting in bed position at an angle greater than 45° (99%), followed by sitting on the edge of the bed (22%); the number of activities out of the bed was small (sitting in chair 19%, bipedal position 18% and ambulation 17%). No adverse events occurred. ConclusionsImplementing activities of early mobilisation was possible and safe. Activities in bed were the most frequent and, in patients with mechanical ventilation, the percentage of activities for transition to bipedal and ambulation was limited.
Published Version
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