Barriers to implementing expert safety recommendations for early mobilisation in intensive care unit during mechanical ventilation: A prospective observational study

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Elizabeth L CapellCarol L Hodgson

Abstract

Early mobilisation in the intensive care unit (ICU) has been consistently reported as feasible and safe with minimal adverse events; however, invasive mechanical ventilation patients are rarely actively mobilised. An expert consensus group developed and published recommendations using a traffic light system on safety criteria to promote active mobilisation of invasive mechanical ventilation patients. The aim of this study was to determine whether, in clinical practice, the safety consensus recommendations resulted in (1) increased early mobilisation in patients assessed as appropriate to mobilise based on the risk classification and (2) early mobilisation without adverse events. A prospective observational study of 100 patients requiring invasive mechanical ventilation (IMV) for greater than 24 h admitted to the ICU at The Alfred Hospital. Patients were assessed daily (Monday to Friday) to determine their ability to perform early mobilisation. Data were collected on 100 patients, resulting in 280 physiotherapy-patient interactions during IMV. Of the 100 patients, five patients actively mobilised out of bed during IMV. No adverse event occurred during active physiotherapy-patient interactions. There were 15 physiotherapy-patient...Continue Reading

Citations

Mar 7, 2020·Journal of Evaluation in Clinical Practice·Cathrine TadyanemhanduVeronica Ntsiea
Sep 22, 2020·Seminars in Respiratory and Critical Care Medicine·Yahya ShehabiBelinda Howe
Jul 30, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Alessandra F LagoCarol Hodgson
Jan 8, 2022·Nursing in Critical Care·María Jesús Frade-MeraMarta Raurell-Torredà

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