Critical Care· 2014Q1
Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults
- 646citations
- Q1SCImago
- 2014year
Short summary
Twenty-three ICU experts developed consensus recommendations for safely mobilizing mechanically ventilated adults, establishing criteria for respiratory, cardiovascular, and neurological parameters.
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Key points
- Consensus reached on safety parameters for mobilizing mechanically ventilated ICU patients across respiratory, cardiovascular, and neurological domains.
- Specific safe mobilization criteria include FiO2 <0.6, SpO2 >90%, and RR <30 breaths/minute.
- Endotracheal intubation is not a contraindication for early mobilization.
- 94 multidisciplinary ICU clinicians agreed with the proposed recommendations.
AI-generated from the title and abstract; the full text is not read.
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.
The authors' abstract, as published at the source. Critical Care, 2014 · DOI ↗
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Field: Critical Care and Intensive Care Medicine
Critical Care and Intensive Care MedicineMedicine