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Updated: Jun 19, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
[Early mobilization in the intensive care unit for patients with subarachnoid hemorrhage-a review]
Jacqueline Widmaier1,2, Denise Schindele3, Karin Lichtinger4
1RKH Gesundheit Klinikum Ludwigsburg, Zentrum für interdisziplinäre Intensivmedizin, Deutschland, Posilipostraße 4, 71640, Ludwigsburg. jacqueline.widmaier@rkh-gesundheit.de.
Background:
Early mobilization of critical ill patients in the intensive care unit (ICU) has a positive effect on outcome. Currently, due to concerns of cerebral vasospasm and rebleeding patients with subarachnoid hemorrhage (SAH) have a prolong bedrest for 12-14 days.
Objective:
What effect does early mobilization have on vasospasm, clinical outcome, length of stay and ICU complication rate in patients with SAH compared to standard treatment?
Methods:
A systematic literature search was conducted in MEDLINE via the PubMed® (U.S. National Library of Medicine®, Bethesda, MD, USA) and CINAHL® (EBSCO, Ipswich, MA, USA) databases.
Results:
A total of 14 studies were identified. Overall, the studies showed an improved functional outcome and a reduction in the length of hospitalization and ventilation time. Only in one study did vasospasms occur more frequently and the outcome of patients with early mobilization was worse.
Conclusion:
Further research is needed to identify possible positive effects of early mobilization in patients with SAH and to be able to describe the risk-benefit ratio more precisely.
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