Culture of early mobility in mechanically ventilated patients
- 1 October 2009
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Critical Care Medicine
- Vol. 37, S429-S435
- https://doi.org/10.1097/ccm.0b013e3181b6e227
Abstract
Physical deconditioning and prolonged motor weakness accompanying critical illness have profound and lasting consequences for both patients and their informal caregivers. The etiology is multifactorial and the effects may be mitigated by an early mobility process. Early mobility is facilitated by change in intensive care unit culture that requires clinicians to: 1) reorganize and manage current practices that have the potential to interfere with mobility; 2) create a strategy to improve the level of teamwork; and 3) link effective practice intervention and teamwork with short- and long-term patient-centered outcomes.Keywords
This publication has 83 references indexed in Scilit:
- Dexmedetomidine vs Midazolam for Sedation of Critically Ill PatientsA Randomized TrialJAMA, 2009
- Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill PatientsIntensive Care Medicine, 2008
- Effect of Sedation With Dexmedetomidine vs Lorazepam on Acute Brain Dysfunction in Mechanically Ventilated PatientsJAMA, 2007
- Subsyndromal delirium in the ICU: evidence for a disease spectrumIntensive Care Medicine, 2007
- Incidence, risk factors and consequences of ICU deliriumIntensive Care Medicine, 2006
- Quality of life after acute respiratory distress syndrome: a meta-analysisIntensive Care Medicine, 2006
- Delirium as a Predictor of Mortality in Mechanically Ventilated Patients in the Intensive Care UnitJAMA, 2004
- Monitoring Sedation Status Over Time in ICU PatientsJAMA, 2003
- Surviving Intensive Care: a report from the 2002 Brussels RoundtableIntensive Care Medicine, 2003
- Reduced Quality of Life in Survivors of Acute Respiratory Distress Syndrome Compared With Critically Ill Control PatientsPublished by American Medical Association (AMA) ,1999