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Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
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[Early mobilisation on the intensive care unit : What we know]
Kristina Fuest1, Stefan J Schaller
1Klinikum rechts der Isar, Klinik für Anästhesiologie und Intensivmedizin, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland. kristina.fuest@mri.tum.de.
Medizinische Klinik, Intensivmedizin Und Notfallmedizin
|August 21, 2019
Summary
Early mobilization within 72 hours of intensive care unit (ICU) admission improves patient outcomes. While safe and feasible, optimal intervention strategies for specific patient groups require further research.
Area of Science:
- Critical Care Medicine
- Rehabilitation
- Patient Outcomes
Background:
- Early mobilization, defined as intervention within 72 hours of ICU admission, has inconsistent evidence.
- This inconsistency creates uncertainty among healthcare providers, leading to suboptimal implementation in German ICUs.
Purpose of the Study:
- To determine suitable early mobilization interventions for specific patient groups.
- To identify unresolved issues regarding early mobilization in critically ill patients.
Main Methods:
- Review of current evidence on early mobilization in critically ill patients.
- Analysis of implementation in German ICUs.
Main Results:
- Early mobilization within 72 hours of ICU admission is recommended for optimal outcomes.
- It improves clinical outcomes and can be part of patient-centered bundles like ABCDEF.
- Mechanical ventilation is not a contraindication; however, evidence for neurocritical care and dependent patients is limited.
Conclusions:
- Early mobilization is safe and feasible, improving outcomes in surgical and medical ICU patients.
- Further research is needed to establish optimal dosage and duration, particularly for neurocritical care patients.
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