Early mobilization in the critical care unit: A review of adult and pediatric literature.
Document Type
Article
Publication Date
8-1-2015
Journal
Journal of critical care
Volume
30
Issue
4
First Page
664
Last Page
672
URL with Digital Object Identifier
https://doi.org/10.1016/j.jcrc.2015.03.032
Abstract
Early mobilization of critically ill patients is beneficial, suggesting that it should be incorporated into daily clinical practice. Early passive, active, and combined progressive mobilizations can be safely initiated in intensive care units (ICUs). Adult patients receiving early mobilization have fewer ventilator-dependent days, shorter ICU and hospital stays, and better functional outcomes. Pediatric ICU data are limited, but recent studies also suggest that early mobilization is achievable without increasing patient risk. In this review, we provide a current and comprehensive appraisal of ICU mobilization techniques in both adult and pediatric critically ill patients. Contraindications and perceived barriers to early mobilization, including cost and health care provider views, are identified. Methods of overcoming barriers to early mobilization and enhancing sustainability of mobilization programs are discussed. Optimization of patient outcomes will require further studies on mobilization timing and intensity, particularly within specific ICU populations.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
