Search Tag: early mobilisation

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

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