Early Mobilization in the ICU

Himanshu Rawal MD , Rita N. Bakhru MD, MS
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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.

我是怎么做的:重症监护室的早期动员
重症监护室获得性乏力(ICU-AW)影响到重症监护室 40% 的住院患者,并可能对那些在重症监护室住院期间存活下来的患者产生长期影响。在过去十年中,早期动员(EM)已成为一种干预措施,有助于预防或减轻 ICU-AW 或两者兼而有之,并改善患者的功能预后。尽管早期动员具有可行性、安全性和潜在益处,但在全球重症监护病房实施早期动员方面仍存在巨大差距。本文旨在回顾ICU-AW,讨论有关EM的证据基础和现行指南,并提供实施EM的实用方法,重点关注患者安全和常见障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CHEST critical care
CHEST critical care Critical Care and Intensive Care Medicine, Pulmonary and Respiratory Medicine
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