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Should Early Mobilization Be Routine in Mechanically Ventilated Patients?
Ulrich H Schmidt1, Lauren Knecht2, Neil R MacIntyre3
1Department of Anesthesiology, University of California, San Diego, California. uschmidt@ucsd.edu.
Respiratory Care
|May 29, 2016
Summary
Early mobilization may help reduce ICU-acquired weakness in patients on mechanical ventilation. However, potential risks and increased staffing costs require careful consideration before routine implementation.
Area of Science:
- Critical care medicine
- Physical therapy in critical care
Background:
- ICU-acquired weakness is a frequent complication for patients requiring mechanical ventilation.
- Early mobilization is recognized for mitigating adverse outcomes associated with critical illness.
Purpose of the Study:
- To evaluate the benefits and risks of early mobilization in mechanically ventilated patients.
- To determine if early mobilization should be a standard practice for these patients.
Main Methods:
- This study is a review of existing literature on early mobilization in mechanically ventilated patients.
- The review analyzes the efficacy, safety, and economic implications of early mobilization protocols.
Main Results:
- Early mobilization can decrease the incidence and severity of ICU-acquired weakness.
- Potential risks include patient safety concerns and increased healthcare resource utilization.
- Financial impact due to additional staffing needs is a significant consideration.
Conclusions:
- The routine implementation of early mobilization in mechanically ventilated patients requires a balanced assessment of clinical benefits against potential risks and costs.
- Further research may be needed to establish optimal protocols and cost-effective strategies.
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