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ROBotic-assisted Early Mobilization in ventilated surgical critically ill patients (ROBEM-I)-A randomized,
Marco Lorenz1, Nadine Langer1, Philipp Kloss1
1Charité́ - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt- Universität zu Berlin, Department of Anesthesiology and Intensive Care Medicine (CVK, CCM), Berlin, Germany.
Anaesthesia, Critical Care & Pain Medicine
|May 25, 2025
Summary
Robotic-assisted mobilization for mechanically ventilated ICU patients increased session duration and frequency. While not reducing staff needs, it significantly lowered Interleukin-6 levels, indicating potential clinical benefits.
Area of Science:
- Critical Care Medicine
- Robotics in Healthcare
- Intensive Care Unit (ICU) Management
Background:
- Human resource shortages impede early mobilization for mechanically ventilated ICU patients.
- Robotic mobilization systems present a potential solution to enhance patient mobility.
- AI-assisted robotic systems are emerging for complex ICU care scenarios.
Purpose of the Study:
- To evaluate the operability of an AI-assisted robotic mobilization system by a single provider.
- To assess the safety, feasibility, and benefits of robotic mobilization for ventilated surgical ICU patients.
- To compare robotic-assisted mobilization with standard care in a critically ill population.
Main Methods:
- A randomized controlled pilot study was conducted in five surgical ICUs.
- Twenty critically ill patients requiring mechanical ventilation for over 24 hours were included.
- Intervention involved twice-daily robotic-assisted mobilization sessions (≥ 20 min) for five days.
Main Results:
- Robotic-assisted mobilization significantly increased session duration (41 min/day) and frequency (2 units/day) compared to standard care.
- No sessions in the robotic group required more than one provider, unlike the control group (p < 0.001).
- A significant reduction in Interleukin-6 (IL-6) levels was observed in the robotic-assisted group (p = 0.049).
Conclusions:
- Robotic-assisted mobilization enhanced mobilization intensity but did not decrease healthcare provider requirements.
- The system demonstrated feasibility and potential benefits, including reduced IL-6 levels in critically ill patients.
- Further research is warranted to explore the full impact of robotic systems on ICU patient outcomes.
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