2025 Multiprofessional Critical Care Review: Adult Online-9: Early Mobility in Critically Ill Patients

Video Transcription

Video Summary

In this video, the speaker discusses the importance of early mobility in the care of critically ill patients. They highlight the significance of ICU-acquired weakness and its impact on patient outcomes. The earliest descriptions of ICU-acquired weakness date back to 1915-1956, and over the years, it has been increasingly recognized as a major problem for critically ill patients. Several randomized control trials have been conducted to assess the effects of early mobility as an intervention, with mixed results. Some studies have shown positive outcomes, such as reduced delirium, decreased ICU-acquired weakness, and improved functional independence. However, other studies have not found significant differences in outcomes between intervention and control groups. Factors such as starting the intervention early, the intensity and duration of therapy, and patient characteristics may influence the efficacy of early mobility. Barriers to implementing early mobility include staffing issues, cultural resistance to change, and concerns about patient safety. The speaker emphasizes the importance of interdisciplinary collaboration, including the involvement of physical and occupational therapists, in delivering early mobility interventions. They also recommend evidence-based safety screen criteria to ensure patient safety during early mobility. Additional resources and guidelines are available to support the implementation of early mobility in the ICU.

Keywords

early mobility

ICU-acquired weakness

critically ill patients

randomized control trials

patient outcomes

interdisciplinary collaboration

functional independence

patient safety

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