Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit
Purpose. Patients admitted to the intensive care unit (ICU) are generally confined to bed leading to limited mobility that may have detrimental effects on different body systems. Early mobilization prevents or reduces these effects and improves outcomes in patients following critical illness. The pu...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/7840743 |
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| author | Gopala Krishna Alaparthi Aishwarya Gatty Stephen Rajan Samuel Sampath Kumar Amaravadi |
| author_facet | Gopala Krishna Alaparthi Aishwarya Gatty Stephen Rajan Samuel Sampath Kumar Amaravadi |
| author_sort | Gopala Krishna Alaparthi |
| collection | DOAJ |
| description | Purpose. Patients admitted to the intensive care unit (ICU) are generally confined to bed leading to limited mobility that may have detrimental effects on different body systems. Early mobilization prevents or reduces these effects and improves outcomes in patients following critical illness. The purpose of this review is to summarize different aspects of early mobilization in intensive care. Methods. Electronic databases of PubMed, Google Scholar, ScienceDirect, and Scopus were searched using a combination of keywords. Full-text articles meeting the inclusion criteria were selected. Results. Fifty-six studies on various aspects such as the effectiveness of early mobilization in various intensive care units, newer techniques in early mobilization, outcome measures for physical function in the intensive care unit, safety, and practice and barriers to early mobilization were included. Conclusion: Early mobilization is found to have positive effects on various outcomes in patients with or without mechanical ventilation. The newer techniques can be used to facilitate early mobilization. Scoring systems—specific to the ICU—are available and should be used to quantify patients’ status at different intervals of time. Early mobilization is not commonly practiced in many countries. Various barriers to early mobilization have been identified, and different strategies can be used to overcome them. |
| format | Article |
| id | doaj-art-124abb9f79234726aa3e5f2fa33a8e0f |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-124abb9f79234726aa3e5f2fa33a8e0f2025-02-03T06:05:46ZengWileyCritical Care Research and Practice2090-13052090-13132020-01-01202010.1155/2020/78407437840743Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care UnitGopala Krishna Alaparthi0Aishwarya Gatty1Stephen Rajan Samuel2Sampath Kumar Amaravadi3Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, UAEDepartment of Physiotherapy, Kastruba Medical College Mangalore, Manipal Academy of Higher Education, Mangaluru, Karnataka, IndiaDepartment of Physiotherapy, Kastruba Medical College Mangalore, Manipal Academy of Higher Education, Mangaluru, Karnataka, IndiaDepartment of Physiotherapy, Kastruba Medical College Mangalore, Manipal Academy of Higher Education, Mangaluru, Karnataka, IndiaPurpose. Patients admitted to the intensive care unit (ICU) are generally confined to bed leading to limited mobility that may have detrimental effects on different body systems. Early mobilization prevents or reduces these effects and improves outcomes in patients following critical illness. The purpose of this review is to summarize different aspects of early mobilization in intensive care. Methods. Electronic databases of PubMed, Google Scholar, ScienceDirect, and Scopus were searched using a combination of keywords. Full-text articles meeting the inclusion criteria were selected. Results. Fifty-six studies on various aspects such as the effectiveness of early mobilization in various intensive care units, newer techniques in early mobilization, outcome measures for physical function in the intensive care unit, safety, and practice and barriers to early mobilization were included. Conclusion: Early mobilization is found to have positive effects on various outcomes in patients with or without mechanical ventilation. The newer techniques can be used to facilitate early mobilization. Scoring systems—specific to the ICU—are available and should be used to quantify patients’ status at different intervals of time. Early mobilization is not commonly practiced in many countries. Various barriers to early mobilization have been identified, and different strategies can be used to overcome them.http://dx.doi.org/10.1155/2020/7840743 |
| spellingShingle | Gopala Krishna Alaparthi Aishwarya Gatty Stephen Rajan Samuel Sampath Kumar Amaravadi Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit Critical Care Research and Practice |
| title | Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit |
| title_full | Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit |
| title_fullStr | Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit |
| title_full_unstemmed | Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit |
| title_short | Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit |
| title_sort | effectiveness safety and barriers to early mobilization in the intensive care unit |
| url | http://dx.doi.org/10.1155/2020/7840743 |
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