Search Tag: early mobilisation

ICU Management

To-mobilise-or-not-to-mobilise

2023 24 May

Patients who receive prolonged ventilation are at significant risk of muscle atrophy, severe weakness, long-term disability, and increased mortality. Early mobilisation has been advocated in multiple international guidelines, with widespread support from healthcare professionals.   Early mobilisation is believed to have potential benefits, such...Read more

ICU Management

Volume-23-issue-2-2023-2

2023 20 Apr

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ICU Management

Organ-support-1

2023 20 Apr

When patients are critically ill, one or more organs may not function optimally or even fail, so organ support is an important component of ICU management.   However, organ support can be associated with complications such as infections, bleeding, and damage to surrounding tissue or organs. These complications can alter the patient's condition,...Read more

ICU Management

Ten-overlooked-mistakes-during-early-mobilisation-in-the-intensive-care-unit

2022 25 May

An overview of the most common mistakes in decision making and the practice of early mobilisation in the intensive care unit. Introduction Early mobilisation (EM) is a therapeutic strategy implemented to avoid and overcome impairments developed due to critical illness and ICU stay. Several benefits have been described throughout the...Read more

ICU Management

Optimising-early-mobilisation-rehabilitation-in-intensive-care

2021 14 Sep

More than forty randomised trials have evaluated early mobilisation and rehabilitation in ICUs in the last decade. These trials usually aim to reduce the incidence of ICU acquired weakness (ICUAW) which is known to be associated with poor long-term survival, poor physical function and decreased quality of life. Eight international guidelines recommend...Read more

ICU Management

Outcomes-of-abcde-bundle-in-mechanically-ventilated-patients

2019 26 Jun

Increasing focus on ICU utilisation and survivorship has also resulted in a greater focus on the long-term consequences of critical illness. Post Intensive Care Syndrome (PICS) is characterised by physical, cognitive, and emotional manifestations and can have a long-lasting impact on survivors of ICU as well as their families and caregivers. ...Read more

ICU Management

Implementation-of-early-and-structured-rehabilitation-in-icu

2017 22 Nov

The importance of multidisciplinary team working and communication Early mobility has been shown to be both safe and feasible within critical care populations. When introduced, early mobilisation programmes are associated with an improvement in short-term outcomes and long-term recovery in critical care patients. Despite this, point prevalence...Read more

ICU Management

Study-cycling-in-bed-safe-and-feasible-for-icu-patients

2016 28 Dec

ICU patients on mechanical ventilation can use an in-bed cycle safely and early in their stay, according to research from McMaster University and St. Joseph’s Healthcare Hamilton, published in PLOS One. “We know that if patients start in-bed cycling two weeks into their ICU stay, they will walk farther at hospital discharge," said the study's lead...Read more

ICU Management

Volume-16-issue-4-2016-1

2016 30 Nov

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ICU Management

Early-mobilisation-in-icu-from-concept-to-reality-four-steps-to-change-patient-outcomes

2016 30 Nov

For years, 28-day survival was the holy grail of ICU physicians. As ICU survival continues to improve, a high proportion of these ICU survivors experience significant cognitive, psychological, and physically disabling side effects of their ICU stay. These consequences of critical illness, regardless of their admitting diagnosis, have a dramatic impact...Read more

ICU Management

Early-mobilisation-programme-for-kids-safe-effective

2016 19 Oct

Evaluation of a pilot mobilisation programme in the paediatric critical care unit at Johns Hopkins University found that it is effective and safe in reducing sedation and boosting early mobility. The most commonly reported barrier to early mobilisation after PICU Up! implementation was availability of appropriate equipment. But a change in mindset...Read more

ICU Management

Implementing-early-mobilisation-practical-tips

2016 04 Jul

While the evidence for the benefits of early mobilisation in the intensive care unit (ICU) is clear, practical guidance on tools and methods to translate evidence into practice is lacking. A recently published paper sets out a strategy for safe mobilisation by a multidisciplinary team that includes doctors, nurses, physiotherapists and support staff....Read more