Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults
Year: 2014
Type: article
Abstract: INTRODUCTION: The aim of this study was to develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients. METHODS: A systematic literature review was followed by a meeting of 23 multidisciplinary ICU experts to seek consensus regarding the safe mobilization of mechanically ventilated patients. RESULTS: Safety considerations were summarized in four categories: respiratory, cardiovascular, neurological and other. Consensus was achieved on all criteria for safe mobilization, with the exception being levels of vasoactive agents. Intubation via an endotracheal tube was not a contraindication to early mobilization and a fraction of inspired oxygen less than 0.6 with a percutaneous oxygen saturation more than 90% and a respiratory rate less than 30 breaths/minute were considered safe criteria for in- and out-of-bed mobilization if there were no other contraindications. At an international meeting, 94 multidisciplinary ICU clinicians concurred with the proposed recommendations. CONCLUSION: Consensus recommendations regarding safety criteria for mobilization of adult, mechanically ventilated patients in the ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events.
Source: Critical Care
Authors: Carol L Hodgson, Kathy Stiller, Dale M Needham, Claire J Tipping, Megan Harrold, Claire E Baldwin, Scott Bradley, Sue Berney, Lawrence R Caruana, Doug Elliott, Margot Green, Kimberley Haines, Alisa M Higgins, Kirsi-Maija Kaukonen, Isabel Anne Leditschke, Marc R Nickels, Jennifer Paratz, Shane Patman, Elizabeth H Skinner, Paul J Young, Jennifer M Zanni, Linda Denehy, Steven A Webb
Institutions: The Alfred Hospital, Monash University, Royal Adelaide Hospital, Johns Hopkins University, Johns Hopkins Medicine, Johns Hopkins Hospital, Curtin University, University of South Australia, Flinders Medical Centre, Austin Hospital, Prince Charles Hospital, University of Technology Sydney, Canberra Hospital, ACT Government, St Vincent's Hospital Melbourne, Helsinki University Hospital, Töölö Hospital, Australian National University, Princess Alexandra Hospital, Griffith University, The University of Queensland, Royal Brisbane and Women's Hospital, The University of Notre Dame Australia, Western Health, Western Hospital, Wellington Hospital, Capital and Coast District Health Board, Medical Research Institute of New Zealand, The University of Melbourne, The University of Western Australia
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $4,190
OpenAlex ID: W2104566817