{"title":"Early Mobilization in the ICU","authors":"Himanshu Rawal MD , Rita N. Bakhru MD, MS","doi":"10.1016/j.chstcc.2023.100038","DOIUrl":null,"url":null,"abstract":"<div><p>ICU-acquired weakness (ICU-AW) impacts up to 40% of patients admitted to the ICU and can have long-lasting effects on those who survive an ICU stay. In the last decade, early mobilization (EM) has emerged as an intervention to help prevent or to mitigate ICU-AW, or both, and to improve functional outcomes for patients. Despite its feasibility, safety, and potential benefits, a large gap in implementation of EM in ICUs globally remains. The purpose of this article is to review ICU-AW, to discuss the evidence base and current guidelines about EM, and to offer a practical approach for EM implementation with an emphasis on patient safety and common barriers.</p></div>","PeriodicalId":93934,"journal":{"name":"CHEST critical care","volume":"2 1","pages":"Article 100038"},"PeriodicalIF":0.0000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949788423000382/pdfft?md5=a5cfb27df93fda155d93a6080da928c6&pid=1-s2.0-S2949788423000382-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"CHEST critical care","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2949788423000382","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
ICU-acquired weakness (ICU-AW) impacts up to 40% of patients admitted to the ICU and can have long-lasting effects on those who survive an ICU stay. In the last decade, early mobilization (EM) has emerged as an intervention to help prevent or to mitigate ICU-AW, or both, and to improve functional outcomes for patients. Despite its feasibility, safety, and potential benefits, a large gap in implementation of EM in ICUs globally remains. The purpose of this article is to review ICU-AW, to discuss the evidence base and current guidelines about EM, and to offer a practical approach for EM implementation with an emphasis on patient safety and common barriers.