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Title: Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults.
Austin Authors: Hodgson, Carol L;Stiller, Kathy;Needham, Dale M;Tipping, Claire J;Harrold, Megan;Baldwin, Claire E;Bradley, Scott;Berney, Susan C ;Caruana, Lawrence R;Elliott, Douglas J;Green, Margot;Haines, Kimberley J ;Higgins, Alisa M;Kaukonen, Kirsi-Maija;Leditschke, Isabel Anne;Nickels, Marc R;Paratz, Jennifer;Patman, Shane;Skinner, Elizabeth H;Young, Paul J;Zanni, Jennifer M;Denehy, Linda;Webb, Steven A
Affiliation: School of Physiotherapy & Exercise Science, Curtin University of Technology, Kent Street, Bentley, Western Australia, 6102, Australia
Outcomes After Critical Illness & Surgery (OACIS) Group, Division of Pulmonary & Critical Care Medicine, Department of Physical Medicine & Rehabilitation, Johns Hopkins Hospital, 600 N. Wolfe Street, Meyer 1-130, Baltimore, Maryland, 21287, USA
Department of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, 600 N. Wolfe Street, Meyer 1-130, Baltimore, Maryland, 21287, USA
Department of Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne, Parkville, Victoria, 3010, Australia
Department of Physiotherapy, Western Health, Western Hospital, Gordon Street, Footscray, Victoria, 3011, Australia
School of Physiotherapy, The University of Notre Dame Australia, Fremantle Campus, 19 Mouat Street, Fremantle, Western Australia, 6959, Australia
Physiotherapy Department, Princess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, Queensland, 4102, Australia
Intensive Care Unit, Canberra Hospital, Yamba Drive, Garran, Australian Capital Territory, 2605, Australia
Physiotherapy Department, Canberra Hospital, Yamba Drive, Garran, Australian Capital Territory, 2605, Australia
Faculty of Health, University of Technology, Sydney (UTS), 235 Jones Street, Broadway, New South Wales, 2007, Australia
The Prince Charles Hospital, 627 Rode Road, Chermside, Queensland, 4032, Australia
Physiotherapy Department, Austin Hospital, 145 Studley Road, Heidelberg, Victoria, 3084, Australia
School of Health Sciences, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia, 5001, Australia
Department of Physiotherapy, The Alfred, 55 Commercial Road, Melbourne, Victoria, 3004, Australia
Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 99 Commercial Road, Melbourne, Victoria, 3004, Australia
Burns, Trauma & Critical Care Research Centre, School of Medicine, The University of Queensland, Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital, Herston, Queensland, 4029, Australia
Department of Physiotherapy, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia, 5000, Australia
Capital and Coast District Health Board, Intensive Care Unit, Wellington Hospital, Riddiford Street, Wellington, 6021, New Zealand.
Issue Date: 4-Dec-2014
Publication information: Critical Care 2014; 18(6): 658
Abstract: The aim of this study was to develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients.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.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.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.
Gov't Doc #: 25475522
DOI: 10.1186/s13054-014-0658-y
Journal: Critical Care
Type: Journal Article
Appears in Collections:Journal articles

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