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[Early mobilization in critically ill pediatric patient with ventilatory support. Experience of a high complexity

Julia Inés Simonassi1, María Tatiana Canzobre2

  • 1Hospital nacional de Pediatría Juan P. Garrahan.. juliasimonassi@gmail.com.

Revista De La Facultad De Ciencias Medicas (Cordoba, Argentina)
|December 21, 2022
PubMed

Insights

Early mobilization (EM) is feasible in critically ill children requiring ventilatory support. This study found EM was implemented early and frequently in a Latin American pediatric intensive care unit (PICU).

Area of Science:

  • Pediatric Critical Care Medicine
  • Rehabilitation Medicine
  • Epidemiology

Background:

  • Early mobilization (EM) is underreported in pediatric intensive care units (PICUs) for patients on ventilatory support.
  • Epidemiological research is needed to understand the characteristics of EM in critically ill pediatric patients.

Purpose of the Study:

  • To describe the population, timing, and frequency of early mobilization (MT) in patients receiving ventilatory support in a Latin American PICU.

Main Methods:

  • A descriptive, retrospective, observational study was conducted in a 17-bed medical-surgical PICU in Argentina.
  • Included were patients under 18 requiring invasive mechanical ventilation (IMV) or non-invasive mechanical ventilation (NIV) for at least 24 hours.
  • Data were collected between July 1 and December 31, 2019.

Main Results:

  • 196 patients were included; 124 (63.3%) received IMV and 72 (37.7%) received NIV.
  • 143 (73%) patients received early mobilization (MT), with 89 (62%) starting within the first 3 days.
  • Age, weight, or ventilatory support (IMV/NIV) did not impede MT implementation.

Conclusions:

  • Early mobilization was feasible and initiated early in over 70% of the studied pediatric critical care population.
  • Mobilization was successfully implemented regardless of patient age, weight, or type of ventilatory support.
  • Findings support the integration of EM as a standard practice in pediatric intensive care.

Keywords:
pediatricsartifitial respirationphysical therapyspecialty critical carerehabilitation.

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