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Updated: Oct 8, 2025
05:56
Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
Published on: September 6, 2024
4.2K
Five-Year Retrospective Analysis of a Vented Mobility Algorithm in the Burn ICU
Audrey M O'Neil1, Cassandra Rush1, Laura Griffard1
1Richard M. Fairbanks Burn Center, Indianapolis, Indiana, USA.
Summary
Early mobilization for mechanically ventilated burn patients is safe and feasible. A burn critical care mobility algorithm showed no adverse events, with most patients achieving early mobility stages.
Area of Science:
- Critical care medicine
- Burn surgery
- Physical therapy
Background:
- Early mobilization in mechanically ventilated patients is gaining traction.
- Research on early mobility in burn patients receiving mechanical ventilation is limited.
- Burn patients present unique challenges to mobility due to injury severity and treatment.
Purpose of the Study:
- To review the implementation of a burn critical care mobility algorithm.
- To determine the safety and feasibility of a burn patient mobility program.
- To identify limitations and challenges in mobilizing intubated burn patients.
Main Methods:
- Single-center, retrospective analysis of intubated burn center admissions (January 2015 - December 2019).
- Burn therapy notes were reviewed for data collection using a staged mobility algorithm.
- Evaluated 127 patients with an average Total Body Surface Area (TBSA) of 22.8%.
Main Results:
- No adverse events were reported during the 5-year study period.
- 100% of patients achieved Stage 1 (range of motion).
- Progressive mobility stages were achieved by a subset of patients, with 4.7% reaching ambulation (Stage 6).
- Common limitations included medical complications (33%) and line placement (21%).
Conclusions:
- Early mobilization during mechanical ventilation is safe and feasible for burn patients.
- Challenges such as airway stability, sedation, and lines can impede mobility progression.
- A structured mobility algorithm can guide safe and feasible early mobilization in this population.
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