Autori: Ruth Kleinpell

Ustanova zaposlenja: Rush University Medical Center, Chicago, Illinois (USA)

Ključne riječi: early mobilization, icu mobility, activity

Kongres/Simpozij: ”5. Međunarodni kongres HDMSARIST-a” i ”8. Međunarodni kongres WFCCN-a”

Mjesto i vrijeme održavanja: Šibenik, 12.-15. travnja 2012. godine

Early mobility for critically ill patients has evolved to become a new standard of care for the intensive care unit (ICU). Traditionally, ICU patients were maintained on bedrest, because it was believed that the conservation of energy would be beneficial for recovery. The adverse effects of bedrest are now well known and activity is being advocated for all patients in the ICU, especially for patients receiving mechanical ventilation. Critical illness polyneuromyopathy is recognized as a complication of serious illness and has been associated with difficulty weaning from mechanical ventilation, increased length of ICU stay, and increased mortality. To combat the effects of bedrest and prolonged immobility in the ICU, early mobilization (also called progressive mobility) — defined as initiating activities within 24-48 hours after ICU admission — is being used as a strategy to promote activity. This session will review strategies that can be used to promote early mobilization in the ICU.