Early mobilisation of intensive care unit patient: The challenges of morbid obesity and multiorgan failure

Radha Korupolu, Jennifer M. Zanni, Eddy Fan, Martha Butler, Dale M. Needham

Research output: Contribution to journalArticle

Abstract

A 44-year-old morbidly obese (body mass index 69 kg/m2) woman presented to our medical intensive care unit (ICU) with septic shock and multiorgan failure requiring mechanical ventilation, a vasopressor infusion, and haemodialysis. Before this admission, the patient reported being able to ambulate approximately 3 m with a walker. Intensive physical therapy was started on ICU day 2, and the patient was successfully mobilised throughout her ICU stay despite the extreme challenges posed by her morbid obesity and critical illness. After only a 9 day stay, the patient was discharged directly home from the medical ICU, walking a total distance of 37 m in a single physical therapy session.

Original languageEnglish (US)
JournalBMJ case reports
DOIs
StatePublished - Mar 30 2010
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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