Rehabilitation in the intensive care unit

Seminars in Respiratory and Critical Care Medicine
Carolyn Rochester

Abstract

Critical illness has many devastating sequelae, including profound neuromuscular weakness and psychological and cognitive disturbances that frequently result in long-term functional impairments. Early rehabilitation begun in the intensive care unit (ICU) is emerging as an important strategy both to prevent and to treat ICU-acquired weakness, in an effort to facilitate and improve long-term recovery. Rehabilitation may begin with range of motion and bed mobility exercise, then may progress when the patient is fully alert and able to participate actively to include sitting and posture-based exercise, bed to chair transfers, strength and endurance exercises, and ambulation. Electrical muscle stimulation and inspiratory muscle training are additional techniques that may be employed. Studies conducted to date suggest that such ICU-based rehabilitation is feasible, safe, and effective for carefully selected patients. Further research is needed to identify the optimal patient candidates and procedures and for providing rehabilitation in the ICU.

Citations

Oct 30, 2012·Medizinische Klinik, Intensivmedizin und Notfallmedizin·A GrimmH Axer
Mar 21, 2012·Critical Care : the Official Journal of the Critical Care Forum·Haley GoodwinMarek A Mirski
May 31, 2014·Clinics in Chest Medicine·Linda Nici, Richard L ZuWallack
Oct 25, 2013·Singapore Medical Journal·Yee Sien NgKeng He Kong
Aug 3, 2011·AACN Advanced Critical Care·Ellyn E Matthews
May 9, 2013·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·C Tod BrindleSue Creehan
Apr 8, 2014·Dimensions of Critical Care Nursing : DCCN·Sarah E JolleyCatherine L Hough
Dec 12, 2012·Critical Care Nursing Quarterly·Diane J KnoblauchCraig Meldrum
Nov 25, 2020·Physiotherapy Theory and Practice·Aishwarya GattySampath Kumar Amaravadi
Dec 10, 2020·Critical Care Research and Practice·Gopala Krishna AlaparthiSampath Kumar Amaravadi

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