Early mobilization and rehabilitation in the ICU: Moving back to the future

Research output: Contribution to journalArticle

Abstract

Despite the historical precedent of mobilizing critically ill patients, bed rest is common practice in ICUs worldwide, especially for mechanically ventilated patients. ICU-acquired weakness is an increasingly recognized problem, with sequelae that may last for months and years following ICU discharge. The combination of critical illness and bed rest results in substantial muscle wasting during an ICU stay. When initiated shortly after the start of mechanical ventilation, mobilization and rehabilitation can play an important role in decreasing the duration of mechanical ventilation and hospital stay and improving patients’ return to functional independence. This review summarizes recent evidence supporting the safety, feasibility, and benefits of early mobilization and rehabilitation of mechanically ventilated patients and presents a brief summary of future directions for this field.

Original languageEnglish (US)
Pages (from-to)971-979
Number of pages9
JournalRespiratory care
Volume61
Issue number7
DOIs
StatePublished - Jul 1 2016

Keywords

  • Bed rest
  • Early mobilization
  • ICU
  • Mechanical ventilation
  • Occupational therapy
  • Physical therapy
  • Rehabilitation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

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