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Movilización de pacientes en la unidad de cuidados intensivos: mejora de la debilidad neuromuscular y la función

Dale M Needham¹

¹Division of Pulmonary and Critical Care Medicine, and Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, Maryland 21205, USA. dale.needham@jhmi.edu

|October 9, 2008

Resumen

La movilización temprana en unidades de cuidados intensivos (UCI) es un enfoque prometedor. Reducir la sedación profunda y aumentar la rehabilitación temprana puede mejorar los resultados para los pacientes en estado crítico, mejorando la función física después del alta.

Área de la Ciencia:

Medicina de cuidados críticos Medicina de cuidados críticos.
La fisioterapia es una terapia física.
La rehabilitación neuromuscular es una rehabilitación neuromuscular.

Sus antecedentes:

Históricamente, la movilización temprana del paciente era común, pero la sedación profunda y el reposo en cama se convirtieron en rutina para los pacientes con ventilación mecánica.
Los pacientes en estado crítico a menudo experimentan complicaciones neuromusculares prolongadas que afectan la función física a largo plazo y la calidad de vida.
El reposo prolongado en cama puede contribuir al desarrollo de debilidad neuromuscular en los sobrevivientes de la unidad de cuidados intensivos (UCI).

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