Back to Search Start Over

Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults

Authors :
Lawrence R. Caruana
Alisa Higgins
Megan Harrold
Claire E. Baldwin
Linda Denehy
Kirsi-Maija Kaukonen
Dale M. Needham
Paul J Young
Kimberley J Haines
Marc Nickels
Kathy Stiller
Scott J. Bradley
Isabel Leditschke
Douglas J Elliott
Elizabeth H Skinner
Susan C Berney
Margot Green
Carol L. Hodgson
Steven A R Webb
Jennifer M. Zanni
Jennifer Paratz
Claire J Tipping
Shane Patman
Hodgson, Carol L
Stiller, Kathy
Needham, Dale M
Tipping, Claire J
Baldwin, Claire Elise
Webb, Steven A
Source :
Critical Care
Publication Year :
2014

Abstract

© 2014 Hodgson et al.; licensee BioMed Central. Introduction: The aim of this study was to develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. Methods: A systematic literature review was followed by a meeting of 23 multidisciplinary ICU experts to seek consensus regarding the safe mobilization of mechanically ventilated patients. Results: Safety considerations were summarized in four categories: respiratory, cardiovascular, neurological and other. Consensus was achieved on all criteria for safe mobilization, with the exception being levels of vasoactive agents. Intubation via an endotracheal tube was not a contraindication to early mobilization and a fraction of inspired oxygen less than 0.6 with a percutaneous oxygen saturation more than 90% and a respiratory rate less than 30 breaths/minute were considered safe criteria for in- and out-of-bed mobilization if there were no other contraindications. At an international meeting, 94 multidisciplinary ICU clinicians concurred with the proposed recommendations. Conclusion: Consensus recommendations regarding safety criteria for mobilization of adult, mechanically ventilated patients in the ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events.

Details

ISSN :
1466609X
Volume :
18
Issue :
6
Database :
OpenAIRE
Journal :
Critical care (London, England)
Accession number :
edsair.doi.dedup.....6181b2f9d91acc6137e9317da6b81771