Title |
Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults
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Published in |
Critical Care, December 2014
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DOI | 10.1186/s13054-014-0658-y |
Pubmed ID | |
Authors |
Carol L Hodgson, Kathy Stiller, Dale M Needham, Claire J Tipping, Megan Harrold, Claire E Baldwin, Scott Bradley, Sue Berney, Lawrence R Caruana, Doug Elliott, Margot Green, Kimberley Haines, Alisa M Higgins, Kirsi-Maija Kaukonen, Isabel Anne Leditschke, Marc R Nickels, Jennifer Paratz, Shane Patman, Elizabeth H Skinner, Paul J Young, Jennifer M Zanni, Linda Denehy, Steven A Webb |
Abstract |
IntroductionTo develop consensus recommendations on safety parameters for mobilizing adult, mechanically ventilated, intensive care unit (ICU) patients.MethodsA systematic literature review followed by a meeting of 23 multidisciplinary ICU experts to seek consensus regarding the safe mobilization of mechanically ventilated patients.ResultsSafety 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.ConclusionConsensus recommendations regarding safety criteria for mobilization of adult, mechanically ventilated patients in ICU have the potential to guide ICU rehabilitation whilst minimizing the risk of adverse events. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 48 | 21% |
United Kingdom | 41 | 18% |
Australia | 12 | 5% |
Spain | 6 | 3% |
Brazil | 5 | 2% |
Saudi Arabia | 5 | 2% |
Canada | 4 | 2% |
Italy | 4 | 2% |
Thailand | 3 | 1% |
Other | 30 | 13% |
Unknown | 70 | 31% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 127 | 56% |
Practitioners (doctors, other healthcare professionals) | 52 | 23% |
Scientists | 41 | 18% |
Science communicators (journalists, bloggers, editors) | 6 | 3% |
Unknown | 2 | <1% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 5 | <1% |
Portugal | 1 | <1% |
Chile | 1 | <1% |
United Kingdom | 1 | <1% |
Russia | 1 | <1% |
United States | 1 | <1% |
Unknown | 763 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 104 | 13% |
Student > Bachelor | 103 | 13% |
Other | 68 | 9% |
Student > Doctoral Student | 61 | 8% |
Researcher | 59 | 8% |
Other | 164 | 21% |
Unknown | 214 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 215 | 28% |
Medicine and Dentistry | 214 | 28% |
Agricultural and Biological Sciences | 20 | 3% |
Neuroscience | 14 | 2% |
Sports and Recreations | 12 | 2% |
Other | 60 | 8% |
Unknown | 238 | 31% |